DR. CHARLES PAUL SISCO M.D. NPI 1124021639

NPI Information

DR. Charles Paul Sisco, M.D. is an allergy and immunology internal medicine in Fayetteville, AR. The provider is 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. DR. Charles Paul Sisco, M.D. NPI is 1124021639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17994 HABBERTON RD
FAYETTEVILLE, AR
ZIP 72703-117
Phone: (479) 445-6550

The enumeration date for this NPI number is 5/31/2005 and was last updated on 7/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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