TIMOTHY EDWARD NISSEN

LITTLE ROCK, AR
NPI1114480217
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-08
Last Update Date2019-04-08
Business Address
Dr. TIMOTHY EDWARD NISSEN DO
ARKANSAS CHILDREN'S HOSPITAL 1 CHILDREN'S WAY, SLOT ACH 512-19A
LITTLE ROCK, AR 72202
Phone number: 501-364-1874
Mailing Address
Dr. TIMOTHY EDWARD NISSEN DO
4019 VALLEY VIEW DR
LITTLE ROCK, AR 72212-2097
Phone number: 501-993-3373
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