IndividualActive
Taylor Sites, PA-C
NPI 1154031987 · Surgical Physician Assistant · Fayetteville, AR
Provider details
- NPI number
- 1154031987
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PT2022-089 (AR)
Practice location
3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone: (479) 316-4785
Fax: (479) 966-4197
Mailing address
3900 N Parkview Dr
Fayetteville, AR 72703-6398
Registry dates
- Enumerated
- 2022-12-02
- Last updated
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.