NPI 1124089222

Randy M Ennen, MD

Practitioner Ophthalmology Physician Fort Smith, AR

Practice location

Address: 3312 S 70th St, Fort Smith, AR 72903-5052
Phone: (479) 452-7800
Fax: (479) 452-9486

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence N7403 (AR)

Other Ophthalmology providers in Arkansas →

Registry record

NPI: 1124089222
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2006
Record last updated: 18 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.