Randall, David Awrey
Randall, David Awrey is an individual health care provider with primary practice located at 960 E Walnut Lawn St Ferrell-Duncan Clinic Ent, Springfield MO 65807-7506. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Randall, David Awrey can be contacted via phone (417) 875-3600.Contact Information
Primary practice address
960 E Walnut Lawn St Ferrell-Duncan Clinic Ent
Springfield MO 65807-7506
Phone: (417) 875-3600
Fax: (417) 875-3612
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 2000-172900 | Missouri |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 2000172900 | Missouri |
Profile Details
NPI number | 1366438426 |
---|---|
LBN Legal business name | Randall, David Awrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2005 |
Last updated | Feb 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366438426 | NPPES |
Missouri | MEDICAID | 1366438426 | |
Missouri | MEDICAID | 205311608 |
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