Staley, Randall Dean
Staley, Randall Dean is an individual health care provider with primary practice located at 4700 S Thompson St Ste C103 , Springdale AR 72764. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Staley, Randall Dean can be contacted via phone (479) 571-6363.Contact Information
Primary practice address
4700 S Thompson St Ste C103
Springdale AR 72764
Phone: (479) 571-6363
Fax: (479) 684-3941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | E-6379 | Arkansas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | E-6379 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-6379 | Arkansas |
Profile Details
| NPI number | 1295918449 |
|---|---|
| LBN Legal business name | Staley, Randall Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2007 |
| Last updated | Jan 22nd, 2024 - about 10 months 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 | 1295918449 | NPPES |
| Arkansas | Other | E6379 | STATE LICENSE |
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