SearchArkansas183500000X

Randy Stayton

NPI 1962002782 · on the registry since 2020 · sole proprietor

Practice

Address
2109 W Main
Russellville, AR 72801
Phone
(479) 498-9540
Fax
(479) 498-9543

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-30

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