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NPI Code Detail

MEDICARE: DR. DAVID A STILLS MD

MEDICARE:  DR. DAVID A STILLS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianC-8310AR
2207Q00000XFamily Medicine PhysicianC8310AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154311595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID A STILLS MD
Provider Business Mailing Address
First Line : PO BOX 1449
Second Line :
City : MOUNTAIN HOME
State : AR
Zip : 72654-1449
Country : US
Telephone Number : 870-424-3181
Fax Number : 870-424-3089
Provider Business Practice Location Address
First Line : 624 HOSPITAL DR
Second Line :
City : MOUNTAIN HOME
State : AR
Zip : 72653-2955
Country : US
Telephone Number : 870-508-1000
Fax Number : 870-424-3089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 03/07/2020

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Directions to “ DR. DAVID A STILLS MD” Practice Location

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