Individual
TIM W. GREAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3380 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 442-7322
(479) 442-7379
Mailing address
PO BOX 1247, FAYETTEVILLE, AR 72702-1247
(479) 442-7322
(479) 442-7379
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R-4002
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115781001
—
AR
01
—
52987
AR BC/BS
AR
Enumeration date
06/09/2006
Last updated
12/12/2011
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