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Search › Arkansas › 225100000X

Randall Jerry, DPT

NPI 1932624244 · on the registry since 2017

Practice

Address
2700 Vine St
El Dorado, AR 71730
Phone
(870) 875-5124
Fax
(870) 875-5198
Organisation at this address
Empicare, Inc
Anaya Medical, Inc
Gregg L Massanelli Mdpa
South Arkansas Orthopaedics And Sports Medicine Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-22

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