Individual
RANDY CONOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 SUN MEADOW DR, CENTERTON, AR 72719-9610
(479) 795-0426
(479) 795-0425
Mailing address
PO BOX 34, CENTERTON, AR 72719-0034
(479) 795-0426
(479) 795-0425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143769003
—
AR
Enumeration date
09/27/2005
Last updated
09/03/2020
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