Search › Arkansas › Orthopaedic Surgery of the Spine Physician
Gannon Randolph, M.D
NPI 1528173697 · on the registry since 2006
Practice
- Address
- 1800 Se Moberly Ln
Bentonville, AR 72712 - Phone
- (479) 521-2752
- Fax
- (479) 521-4603
- Organisation at this address
- Ozark Orthopaedics, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Additional practice sites
- 1101 S Horsebarn Rd, Rogers, AR
Registry record
- Primary taxonomy
- Orthopaedic Surgery of the Spine Physician
207XS0117X
- Also registered as
- Orthopaedic Surgery Physician
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas