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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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MARYANOV, TIMOTHY YEFIM       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 9616 ROGERS AVE
FORT SMITH AR 72903

Address last updated on 8/25/2024
Phone #: (479) 551-2127
Fax #: (479) 439-8868
County: NOT OKLAHOMA
License: 32764
Dated: 9/14/2017
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Neurological Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, San Diego, Sch Of Med, La Jolla CA 92093
Graduated: 6 / 2004
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF NEUROLOGICAL SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9616 ROGERS AVE
FORT SMITH AR 72903

Phone #: (479) 551-2127
Fax #: (479) 439-8868
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:

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