Individual
DR. RANDALL L BREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205-6375
(501) 975-7455
(501) 975-3631
Mailing address
4261 STOCKTON DRIVE SUITE LL100, NORTH LITTLE ROCK, AR 72117
(501) 975-7456
(501) 978-1822
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
E1230
AR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
E1230
AR
207NS0135X
Procedural Dermatology Physician
E1230
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131705001
—
AR
Enumeration date
03/02/2007
Last updated
05/06/2025
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