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:
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Health care specialties

SpecialtyCodeLicense #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 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 1295918449 NPPES
Arkansas Other E6379 STATE LICENSE

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