Individual
DR. THOMAS E WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 424-4804
Mailing address
PO BOX 387, MOUNTAIN HOME, AR 72654-0387
(870) 424-4804
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E5090
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164551001
—
AR
Enumeration date
07/06/2006
Last updated
11/23/2009
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