Organization
FAYETTEVILLE-SPRINGDALE EAR, NOSE & THROAT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL DAVIS MD (OWNER)
(479) 521-1238
Entity
Organization
Contact information
Practice address
4255 N VENETIAN LN, FAYETTEVILLE, AR 72703-5077
(479) 521-1238
(479) 521-0509
Mailing address
4255 N VENETIAN LN, FAYETTEVILLE, AR 72703-5077
(479) 521-1238
(479) 521-0509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
06/18/2008
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