Black, Randall Wayne
Black, Randall Wayne is an individual health care provider with primary practice located at 5204 W Redbud Street , Rogers AR 72758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Black, Randall Wayne can be contacted via phone (479) 636-0110.Contact Information
Primary practice address
5204 W Redbud Street
Rogers AR 72758
Phone: (479) 636-0110
Fax: (479) 631-0491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | C7458 | Arkansas |
Profile Details
| NPI number | 1942268909 |
|---|---|
| LBN Legal business name | Black, Randall Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jul 15th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Bridges, Matthew
5204 W Redbud St , Rogers AR 72758-8936 -
Mazer, Theodore M.
6699 Alvarado Rd Ste 2209, San Diego CA 92120-5240 -
Evans, David A
1111 Exposition Blvd Bldg 700 , Sacramento CA 95815-4314 -
Rowland, Bruce James
2002 Holiday Lane Ste 400, Fulton KY 42041 -
Lee, Carl Wesley
19 Wolf Creek Dr Dept Otolaryngology, Swansea IL 62226-2355 -
Winter, Mark L.
4432 S Loop 289 , Lubbock TX 79414-5005 -
Mclean, Robert C
1200 S Farmerville St , Ruston LA 71270-5941 -
Mcgrady, Murray D
19 Wolf Creek Dr Dept Otolaryngology, Swansea IL 62226-2355