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Individual

DARIN O'SHEA STITES II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1760 TANK TWO RD, RIDGELY, TN 38080-6201
(720) 512-1046
Mailing address
1760 TANK TWO RD, RIDGELY, TN 38080-6201
(720) 512-1046

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6095
TN
363AM0700X
Medical Physician Assistant

Other

Enumeration date
06/11/2024
Last updated
08/01/2024
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