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Gannon B Randolph, MD
Orthopedic Surgery of the Spine Physician in Bentonville, Arkansas
NPI 1528173697

Gannon B Randolph is a Orthopedic Surgery of the Spine Physician based in Fayetteville, AR and is specialized in Orthopedic Surgery of the Spine. Gannon B Randolph practices in Bentonville, AR and has the professional credentials of MD. The NPI Number for Gannon B Randolph is 1528173697 and holds a License No. E5957 (Arkansas).

The current practice location address for Gannon B Randolph is 1800 Se Moberly Ln, Bentonville, AR and can be reached out via phone at 479-521-2752 and via fax at 479-521-4603.

Location: 1800 Se Moberly Ln, Bentonville, AR, 72703-4056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528173697
Provider Name
Gannon B Randolph
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1800 Se Moberly Ln, Bentonville, AR, 72703-4056
Phone Number
479-521-2752
Fax Number
479-521-4603
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1176259001 05 AR
institution
Provider Business Practice Location Address Details
Address
1800 Se Moberly Ln
City
Bentonville
State
Arkansas
Zip
72712-7017
Phone Number
479-521-2752
Fax Number
479-521-4603
person
Provider Business Mailing Address Details
Address
1800 Se Moberly Ln
City
Bentonville
State
Arkansas
Zip
72712-7017
Phone Number
479-521-2752
Fax Number
479-521-4603
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
E5957 (Arkansas)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
E5957 (Arkansas)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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