Individual
NICHOLAS D TINGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 JACK STEPHENS DR, LITTLE ROCK, AR 72205-5524
(501) 296-1200
(501) 686-7861
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-16781
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-16781
AR
Other
Enumeration date
04/03/2015
Last updated
07/01/2024
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