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Contact Information

STEPHEN B TILLEY, MD
5905 R ST
LITTLE ROCK, AR72207
 Phone: 501-663-9415
 Fax: 501-663-1874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for STEPHEN B TILLEY · (Male)

NPI # 1205833738
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 04/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AR License # C4672
  • AR Other 11217000000 QUALCHOICE
  • AR Other 01-20334 UNITED HEALTHCARE
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK - (Acute Care)
    9601 INTERSTATE 630, EXIT 7
    LITTLE ROCK, AR 72205
  • ST VINCENT INFIRMARY MEDICAL CENTER - (Acute Care)
    TWO ST VINCENT CIRCLE
    LITTLE ROCK, AR 72205
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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