Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | N-8022 | AR |
Y | 208600000X | Surgeon | N-8022 | AR |
N | 208G00000X | Cardiothoracic Vascular Surgeon | N-8022 | AR |
NPI | 1134219702 |
---|---|
Provider Name | Harmon Tobler |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 12/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020019343 | RAILROAD MEDICARE (01) | AR |
117771001 | (05) | AR |
12073000000 | QUALCHOICE (01) | AR |
54109 | BLUE CROSS BLUE SHIELD (01) | AR |
541097666 | ADDITIONAL MEDICARE (01) | AR |
E67043 | (02) | |
N8022 | TRICARE (01) | AR |
P00020597 | ADDITIONAL RAILROAD MCARE (01) | AR |