Organization
DOC'S CLINIC AND INSTITUTE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL BENJAMIN OATES M.D. (FAMILY PRACTICE PHYSICIAN)
(479) 251-1552
Entity
Organization
Contact information
Practice address
4220 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 251-1552
(479) 251-8956
Mailing address
4220 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 251-1552
(479) 251-8956
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
C-5922
AR
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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