1528173697 Gannon B Randolph, M.D.
Orthopaedic Surgery of the Spine Physician
Active
Basic Information
- Full Name
- Gannon B Randolph, M.D.
- Gender
- Male
- Enumeration Date
- August 20, 2006
- Last Update
- July 12, 2021
Practice Location
- Address
- 1800 SE MOBERLY LN
BENTONVILLE, AR 727127017 - Phone
- (479) 521-2752
- Fax
- (479) 521-4603
Mailing Address
- Address
- 3317 N WIMBERLY DR
FAYETTEVILLE, AR 727034056 - Phone
- (479) 521-2752
- Fax
- (479) 521-4603
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Orthopaedic Surgery | E5957 | AR | No |
| Orthopaedic Surgery of the Spine Physician Orthopaedic Surgery of the Spine | 207XS0117X | Orthopaedic Surgery | E5957 | AR | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1176259001 | 05 | AR | N/A |
Additional Practice Locations
1101 S Horsebarn Rd
Rogers, AR 727588237
Rogers, AR 727588237
Phone: (479) 271-9607
Fax: (479) 271-2133
Digital Endpoints
DIRECT
gannon.randolph.1@18403.direct.athenahealth.com
Direct message address
Frequently Asked Questions
What is Gannon B Randolph, M.D.'s NPI number?
Gannon B Randolph, M.D.'s NPI number is 1528173697.
Which doctor has NPI number 1528173697?
The doctor with NPI number 1528173697 is Gannon B Randolph, M.D..
What is Gannon B Randolph, M.D.'s practice address?
Gannon B Randolph, M.D.'s practice address is 1800 SE MOBERLY LN, BENTONVILLE, AR, 727127017.
Which doctor practices at 1800 SE MOBERLY LN, BENTONVILLE, AR, 727127017?
Gannon B Randolph, M.D. practices at 1800 SE MOBERLY LN, BENTONVILLE, AR, 727127017.
What is Gannon B Randolph, M.D.'s mailing address?
Gannon B Randolph, M.D.'s mailing address is 3317 N WIMBERLY DR, FAYETTEVILLE, AR, 727034056.
What is Gannon B Randolph, M.D.'s phone number?
Gannon B Randolph, M.D.'s phone number is (479) 521-2752.
Who is (479) 521-2752?
(479) 521-2752 is the phone number for Gannon B Randolph, M.D..
What is Gannon B Randolph, M.D.'s specialty?
Gannon B Randolph, M.D.'s specialty is Orthopaedic Surgery of the Spine Physician.
What type of doctor is Gannon B Randolph, M.D.?
Gannon B Randolph, M.D. is a Orthopaedic Surgery of the Spine Physician.
Is Gannon B Randolph, M.D. a Orthopaedic Surgery of the Spine?
Yes, Gannon B Randolph, M.D. is a Orthopaedic Surgery of the Spine.
Is Gannon B Randolph, M.D. still practicing?
Yes, Gannon B Randolph, M.D. is currently practicing.
Is Gannon B Randolph, M.D. accepting new patients?
Gannon B Randolph, M.D. may be accepting new patients. Please call their office at (479) 521-2752 to inquire about availability.
Is NPI 1528173697 still active?
Yes, NPI 1528173697 is currently active.
Where does Gannon B Randolph, M.D. practice?
Gannon B Randolph, M.D. practices in BENTONVILLE, AR.
Is Gannon B Randolph, M.D. a male or female doctor?
Gannon B Randolph, M.D. is a male doctor.