Individual provider · Type 1 NPI
Charles Paul Sisco, MD
Allergy & Immunology (Internal Medicine) Physician · Fayetteville, AR
Practice location
17994 Habberton Rd
Fayetteville, AR 72703-9117
Mailing address
PO Box 65
Springdale, AR 72765-0065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician Primary | 207RA0201X | C4144 (AR) |
Allergy & Immunology (Internal Medicine) Physician: 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.
About NPI 1124021639
Charles Paul Sisco, MD's National Provider Identifier is 1124021639, issued on May 31, 2005. The primary taxonomy on file is Allergy & Immunology (Internal Medicine) Physician (207RA0201X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 13, 2007.