Individual
STEPHEN SCOTT PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
Mailing address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3411
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146944001
—
AR
01
—
5M284
BCBS
AR
Enumeration date
12/01/2005
Last updated
09/01/2015
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