Feezell, Randall

Feezell, Randall is an individual health care provider with primary practice located at 5431 W Pinnacle Pointe Dr Ste 104 , Rogers AR 72758-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Feezell, Randall can be contacted via phone (479) 268-6404.

Contact Information

Primary practice address
5431 W Pinnacle Pointe Dr Ste 104 Rogers AR 72758-7032
Fax: (479) 464-0030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X N-6349 Arkansas

Profile Details

NPI number 1609833854
LBN Legal business name Feezell, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 22nd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609833854 NPPES
Arkansas MEDICAID 105885001

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