| Mr Dowling Bluford Stough Iv, MD | |
|
3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 | |
| (501) 623-6100 | |
| (501) 623-6187 |
| Full Name | Mr Dowling Bluford Stough Iv |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 3633 Central Ave, Hot Springs, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831199884 | NPI | - | NPPES |
| 115184001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | C6673 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | The Dermatology Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225020852 PECOS PAC ID: 4789663345 Enrollment ID: O20040716000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dowling Bluford Stough Iv, MD 3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 Ph: (501) 623-6100 | Mr Dowling Bluford Stough Iv, MD 3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 Ph: (501) 623-6100 |
Mr. Adam Stefan Stibich, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3633 Central Ave, Ste N, Hot Springs, AR 71913 Phone: 501-623-6100 Fax: 501-623-6187 | |
Stephen H Mason, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3633 Central Ave, Suite N, Hot Springs, AR 71913 Phone: 501-623-6100 Fax: 501-623-6187 | |
Martin Lewis Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3633 Central Ave, Suite N, Hot Springs, AR 71913 Phone: 501-623-6100 Fax: 501-623-6187 | |
Jack Aldrich Cates, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1710 Malvern Ave, Hot Springs, AR 71901 Phone: 501-624-3376 Fax: 501-624-5609 |