Individual
DR. TIMOTHY W CALICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14623 CHAMBERY DR, LITTLE ROCK, AR 72211-5586
(501) 920-8556
Mailing address
14623 CHAMBERY DR, LITTLE ROCK, AR 72211-5586
(501) 920-8556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C8421
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126098001
—
AR
Enumeration date
09/30/2005
Last updated
08/05/2012
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