Dr TIMOTHY Y MARYANOV is a male medical professional, specializing in Neurosurgery. He graduated in 2004 from University Of California, San Diego School Of Medicine.
1501 S WALDRON RD
109 FORT NEURO
FORT SMITH
AR
729032568
Tel: 4792423310
| Npi | 1629298500 |
| Pac Id | 5698943389 |
| Professional Enrollment Id | I20121105000285 |
| Last Name | MARYANOV |
| First Name | TIMOTHY |
| Middle Name | Y |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | NEUROSURGERY |
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| Organization Legal Name | |
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| Line 1 Street Address | 1501 S WALDRON RD |
| Line 2 Street Address | 109 FORT NEURO |
| Marker Of Address Line 2 Suppression | |
| City | FORT SMITH |
| State | AR |
| Zip Code | 729032568 |
| Phone Number | 4792423310 |
| Hospital Affiliation Ccn 1 | 040018 |
| Hospital Affiliation Lbn 1 | SPARKS MEDICAL CENTER VAN BUREN |
| Hospital Affiliation Ccn 2 | 040055 |
| Hospital Affiliation Lbn 2 | SPARKS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 040002 |
| Hospital Affiliation Lbn 3 | JOHNSON REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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