Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | E-0329 | AR |
Y | 207X00000X | Orthopaedic Surgeon | E0329 | AR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | E0329 | AR |
NPI | 1861441198 |
---|---|
Provider Name | Dr. Robert J Tomlinson JR. |
First Address | Fayetteville, AR 72703-2853 |
Second Address | Fayetteville, AR 72703-2853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
126811001 | (05) | AR |
5J538 | BCBS (01) | AR |
E88853 | (02) |