Fayetteville-Springdale Ear, Nose & Throat Clinic

LBN: Fayetteville-Springdale Ear, Nose & Throat Clinic
Fayetteville-Springdale Ear, Nose & Throat Clinic is an health care organization with primary practice located at 4255 N Venetian Ln , Fayetteville AR 72703-5077. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fayetteville-Springdale Ear, Nose & Throat Clinic can be contacted via phone (479) 521-1238, or through Davis, Randall via phone (479) 521-1238.

Contact Information

Primary practice address
4255 N Venetian Ln Fayetteville AR 72703-5077
Phone: (479) 521-1238
Fax: (479) 521-0509
Website:
Map and Directions
Authorized official contact:
Name: Davis, Randall Doctor of Medicine (MD)
Phone: (479) 521-1238

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1841408788
LBN Legal business name Fayetteville-Springdale Ear, Nose & Throat Clinic
DBA Doing business as
Authorized official Davis, Randall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Jun 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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