Individual
TIMOTHY EWING BAINUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2673 HIGHWAY 70 E, GLENWOOD, AR 71943-8750
(870) 356-4240
(870) 356-4250
Mailing address
2673 HIGHWAY 70 E, GLENWOOD, AR 71943-8750
(870) 356-4240
(870) 356-4250
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
N-5630
AR
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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