Individual
DR. TIMOTHY E FREYALDENHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 ADA AVE STE 302, CONWAY, AR 72034-4985
(501) 932-0352
(501) 932-0354
Mailing address
2200 ADA AVE STE 302, CONWAY, AR 72034-4985
(501) 932-0352
(501) 932-0354
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E-3108
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130025088
MEDICARE RAILROAD
AR
05
—
146351001
—
AR
Enumeration date
07/05/2005
Last updated
03/20/2023
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