Dr Timothy A Diller, MD | |
1400 Braden St, Emergency Dept, Jacksonville, AR 72076-3721 | |
(501) 985-7000 | |
Not Available |
Full Name | Dr Timothy A Diller |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1400 Braden St, Jacksonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205899481 | NPI | - | NPPES |
786546 | Other | AR | HEALTHLINK |
P01027351 | Other | RAILROAD MCARD | |
07100015600 | Other | AR | QC |
5086184 | Other | AR | AETNA |
164478001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301044283 (Michigan) | Primary |
2086S0129X | Surgery - Vascular Surgery | T2007-006 (Arkansas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy A Diller, MD Po Box 3925, Shreveport, LA 71133-3925 Ph: (800) 684-0052 | Dr Timothy A Diller, MD 1400 Braden St, Emergency Dept, Jacksonville, AR 72076-3721 Ph: (501) 985-7000 |
Rex E Luttrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Pod B, Jacksonville, AR 72076 Phone: 501-978-4343 Fax: 501-975-8995 |