| 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 |