Individual
NIGER STICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17 MEDICAL PLAZA, MOUNTAIN HOME, AR 72653-2918
(870) 425-6235
(870) 424-3774
Mailing address
17 MEDICAL PLAZA, MOUNTAIN HOME, AR 72653-2918
(870) 425-6235
(870) 424-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-516
AR
Other
Enumeration date
02/25/2013
Last updated
10/28/2022
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