RANDALL WAYNE BLACK

ROGERS, AR
NPI1942268909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: AR  C7458)
Enumeration Date2006-05-01
Last Update Date2014-07-15
Business Address
Dr. RANDALL WAYNE BLACK MD
5204 W REDBUD STREET
ROGERS, AR 72758
Phone number: 479-636-0110
Mailing Address
Dr. RANDALL WAYNE BLACK MD
5204 W REDBUD STREET
ROGERS, AR 72758
Phone number: 479-636-0110