IndividualActive
Charles Sisco, M.D.
NPI 1124021639 · Allergy & Immunology (Internal Medicine) Physician · Fayetteville, AR
Provider details
- NPI number
- 1124021639
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- C4144 (AR)
Practice location
17994 Habberton Rd
Fayetteville, AR 72703-9117
Phone: (479) 445-6550
Mailing address
Po Box 65
Springdale, AR 72765-0065
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2007-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.