Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES PAUL SISCO, M.D.
Active Sole ProprietorDR. CHARLES PAUL SISCO, M.D. is a Allergy & Immunology healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1124021639 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1124021639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (21.224985742043 yrs)
- Last Updated
- Jul 13, 2007
- License
-
C4144 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17994 HABBERTON RDFAYETTEVILLE, AR, 727039117Browse AR providers · Browse ZIP 72703
- Phone
- 4794456550
- Primary Specialty
-
Allergy & Immunology
207RA0201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.