Individual
DR. MARY ROZ TIMBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
PO BOX 251418, LITTLE ROCK, AR 72225-1418
(501) 364-1100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
E-14382
AR
207YP0228X
Pediatric Otolaryngology Physician
Primary
E-14382
AR
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
E-14382
AR
Other
Enumeration date
04/03/2015
Last updated
03/04/2022
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