NPI 1629298500

Timothy Y. Maryanov, MD

Practitioner Neurological Surgery Physician Fort Smith, AR

Practice location

Address: 9616 Rogers Ave, Fort Smith, AR 72903-5769
Phone: (479) 242-3310
Fax: (479) 439-8868

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence E7752 (AR)

Other Neurological Surgery providers in Arkansas →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence LL33444 (SC)

Registry record

NPI: 1629298500
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2007
Record last updated: 28 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.