David Awrey Randall in Springfield - Specialist
David Awrey Randall - NPI 1366438426
David Awrey Randall is a Specialist in Springfield, Missouri. David Awrey Randall practices all healthcare services and medical treatments related to Specialist. The NPI Number for David Awrey Randall is 1366438426. The last update date is 2014-02-07.
David Awrey Randall's current location address is 960 E Walnut Lawn St, Springfield, Missouri. You can contact this provider via phone number 4178753600 and fax number 4178753612. The mailing address for David Awrey Randall is 960 E Walnut Lawn St, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Awrey Randall |
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Address | 960 E Walnut Lawn St, Springfield, Missouri |
Phone Number | 4178753600 |
Fax Number | 4178753612 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1366438426 |
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Provider Enumeration Date | 2005-09-23 |
Last Updated Date | 2014-02-07 |
Provider Mailing Address Detail
Address | 960 E Walnut Lawn St |
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City | Springfield |
State | Missouri (MO) |
Post Code | 658077506 |
Phone Number | 4178753600 |
Fax Number | 4178753612 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 2000-172900 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1366438426 | MO | -- | |
205311608 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Awrey Randall by the Centers for Medicare & Medicaid Services?
The David Awrey Randall has been issued the NPI (National Provider Identifier) 1366438426 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the David Awrey Randall's physical address?
The David Awrey Randall is physically located at 960 E Walnut Lawn St, in the city of Springfield, MO, with the postal code 658077506.
What is the area of specialization for David Awrey Randall, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Awrey Randall is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the David Awrey Randall receive the assignment of its 1366438426 from the Centers for Medicare & Medicaid Services?
The David Awrey Randall was issued its 1366438426 by the Centers for Medicare & Medicaid Services on 2005-09-23.
As of what date was the information pertaining to David Awrey Randall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Awrey Randall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-07.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN