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TIMOTHY S HARTON MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1215937537

Individual Registrant:
 TIMOTHY S HARTON MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
614 N MARTIN ST  WARREN, AR 71671-1904 US
Tel: 870-226-6580  Fax: 870-226-6554

Contact information for business:
400 E 10TH ST  WACONIA, MN 55387-4552 US
Tel: 952-442-9770  Fax: 952-442-3620

Registration Information:
NPI: 1215937537
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
ARE-3166
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARE3166

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS OF AR5M177AR01
146289001AR05




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