Individual
TIM DRIEDRIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 S. BOWMAN RD. APT 812, LITTLE ROCK, AR 72211
(501) 351-4185
Mailing address
3400 S BOWMAN RD APT 812, LITTLE ROCK, AR 72211-4657
(501) 351-4185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
618
AR
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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