Individual provider · Type 1 NPI

Taylor Jared Sites, PA-C

Surgical Physician Assistant · Fayetteville, AR

NPI number 1154031987 Active

Practice location

3900 N Parkview Dr
Fayetteville, AR 72703-6398

Fax (479) 966-4197

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPT2022-089 (AR)

Surgical Physician Assistant: Definition to come...

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About NPI 1154031987

Taylor Jared Sites, PA-C's National Provider Identifier is 1154031987, issued on Dec 2, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fayetteville, AR. The record was last updated on Dec 2, 2022.