SUSAN STOVER COTA
NPI 1548484728
Specialist in Lake Village, AR
- Individual
- Female
- Specialist
About SUSAN STOVER
This page provides the complete NPI Profile along with additional information for Susan Stover, a provider established in Lake Village, Arkansas with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1548484728 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number OTA453 (AR). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1548484728 Verify this NPI
- Provider Name
- SUSAN STOVER COTA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 216 MAIN ST LAKE VILLAGE, AR 71653
- Location Phone
- (870) 265-3950
- Location Fax
- (870) 265-2525
- Mailing Address
- 216 MAIN ST LAKE VILLAGE, AR 71653
- Mailing Phone
- (870) 265-3950
- Mailing Fax
- (870) 265-2525
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- OTA453
- License State
- AR
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
LAKE VILLAGE, AR 71653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548484728, enumerated as an "individual" on April 12, 2007.
The provider is located at 216 MAIN ST LAKE VILLAGE, AR 71653 and the phone number is (870) 265-3950.
Specialist with taxonomy code 174400000X.
