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Dr. Charles Paul Sisco, MD
Allergy & Immunology (Internal Medicine) Physician in Fayetteville, Arkansas
NPI 1124021639

Charles Paul Sisco is an Allergy & Immunology (Internal Medicine) Physician based in Springdale, AR and is specialized in Allergy & Immunology. Charles Paul Sisco practices in Fayetteville, AR and has the professional credentials of MD. The NPI Number for Charles Paul Sisco is 1124021639 and holds a License No. C4144 (Arkansas).

The current practice location address for Charles Paul Sisco is 17994 Habberton Rd, Fayetteville, AR and can be reached out via phone at 479-445-6550. You can also correspond with Charles Paul Sisco through the mailing address at PO BOX 65, SPRINGDALE, AR - 72765-0065 (mailing address contact number: 479-445-6550).

Location: 17994 Habberton Rd, Fayetteville, AR, 72765-0065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124021639
Provider Name
Charles Paul Sisco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17994 Habberton Rd, Fayetteville, AR, 72765-0065
Phone Number
479-445-6550
Fax Number
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17994 Habberton Rd
City
Fayetteville
State
Arkansas
Zip
72703-9117
Phone Number
479-445-6550
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 65
City
Springdale
State
Arkansas
Zip
72765-0065
Phone Number
479-445-6550
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
C4144 (Arkansas)
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
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