NPI 1942268909

Randall Wayne Black, MD

Practitioner Otolaryngology Physician Rogers, AR

Practice location

Address: 5204 W Redbud Street, Rogers, AR 72758
Phone: (479) 636-0110
Fax: (479) 631-0491

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence C7458 (AR)

Other Otolaryngology providers in Arkansas →

Registry record

NPI: 1942268909
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2006
Record last updated: 15 Jul 2014

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.