Randy Conover
Family Doctor
101 Sun Meadow Dr
Centerton
, Arkansas 72719-9610
Randy Conover
Family Doctor
101 Sun Meadow Dr
Centerton
, Arkansas 72719-9610
(479) 795-0425
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Randy Conover
- Po Box 34
- Centerton, AR
- Zip : 72719-0034
- Fax : (479) 795-0425
- Phone : (479) 795-0426
Second Address
- Randy Conover
- 101 Sun Meadow Dr
- Centerton, AR
- Zip : 72719-9610
- Fax : (479) 795-0425
- Phone : (479) 795-0426
Reviews
FAQs
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What type of doctor is Randy Conover
In what state does Randy Conover practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | E2837 | AR |
National Provider Identifier
| NPI | 1003802828 |
|---|---|
| Provider Name | Randy Conover |
| First Address | Centerton, AR 72719-0034 |
| Second Address | Centerton, AR 72719-9610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 03/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 143769003 | (05) | AR |
| H24035 | (02) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.