Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY EWING BAINUM, M.D.
Active Sole ProprietorTIMOTHY EWING BAINUM, M.D. is a Adolescent Medicine healthcare provider located in GLENWOOD, Arkansas. NPI 1578759965 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GLENWOOD, AR
Registration Details
- NPI Number
- 1578759965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2007 (18.920355741838 yrs)
- Last Updated
- Sep 19, 2007
- License
-
N-5630 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2673 HIGHWAY 70 EGLENWOOD, AR, 719438750Browse AR providers · Browse ZIP 71943
- Phone
- 8703564240
- Fax
- 8703564250
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.