CHARLES PAUL SISCO

FAYETTEVILLE, AR
NPI1124021639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RA0201X Internal Medicine, Allergy & Immunology
(Licence: AR  C4144)
Enumeration Date2005-05-31
Last Update Date2007-07-13
Business Address
Dr. CHARLES PAUL SISCO M.D.
17994 HABBERTON RD
FAYETTEVILLE, AR 72703-9117
Phone number: 479-445-6550
Mailing Address
Dr. CHARLES PAUL SISCO M.D.
PO BOX 65
SPRINGDALE, AR 72765-0065
Phone number: 479-445-6550