Individual
RANDY FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
202 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 424-4600
(870) 424-6950
Mailing address
202 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 424-4600
(870) 424-6950
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
588
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
588
THE BOARD OF HEARING INSTRUMENT DISPENSERS
AR
Enumeration date
11/25/2013
Last updated
11/25/2013
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