Individual
DR. DAVID AWREY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 E WALNUT LAWN ST, FERRELL-DUNCAN CLINIC ENT, SPRINGFIELD, MO 65807-7506
(417) 875-3600
(417) 875-3612
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2000-172900
MO
207Y00000X
Otolaryngology Physician
Primary
2000172900
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366438426
—
MO
05
—
205311608
—
MO
Enumeration date
09/23/2005
Last updated
02/07/2014
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