Individual
TIMOTHY E HEREFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6800
(479) 725-6582
Mailing address
6902 LUCERNE DR, LITTLE ROCK, AR 72205-5029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
E-18385
AR
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
E-18385
AR
Other
Enumeration date
04/02/2018
Last updated
09/13/2024
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