Search › Arkansas › 207T00000X
Timothy Maryanov, M.D
NPI 1629298500 · on the registry since 2007
Practice
- Address
- 9616 Rogers Ave
Fort Smith, AR 72903 - Phone
- (479) 242-3310
- Fax
- (479) 439-8868
- Organisation at this address
- Cooper Clinic, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 207T00000X
- Licence states on file
- SC, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas