Organization
TERRY J. SITES, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY J SITES MD (ORTHOPAEDIC SURGEON)
(479) 966-4187
Entity
Organization
Contact information
Practice address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 966-4187
(479) 935-4064
Mailing address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 966-4187
(479) 935-4064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N 8398
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123969001
—
AR
Enumeration date
11/21/2011
Last updated
06/24/2020
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