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1407806623
RANDALL SCOTT BEALLIS
FORT SMITH, AR
NPI
1407806623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR E5627)
Enumeration Date
2006-05-10
Last Update Date
2013-03-18
Business Address
Dr. RANDALL SCOTT BEALLIS DO
7301 ROGERS AVE 4T
FORT SMITH, AR 72903-4100
Phone number: 479-782-5500
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Mailing Address
Dr. RANDALL SCOTT BEALLIS DO
PO BOX 11106
FORT SMITH, AR 72917-1106
Phone number: 479-459-5382
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