Randall, David Awrey

Randall, David Awrey is an individual health care provider with primary practice located at 960 E Walnut Lawn St Ferrell-Duncan Clinic Ent, Springfield MO 65807-7506. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Randall, David Awrey can be contacted via phone (417) 875-3600.

Contact Information

Primary practice address
960 E Walnut Lawn St Ferrell-Duncan Clinic Ent Springfield MO 65807-7506
Phone: (417) 875-3600
Fax: (417) 875-3612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2000-172900 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2000172900 Missouri

Profile Details

NPI number 1366438426
LBN Legal business name Randall, David Awrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366438426 NPPES
Missouri MEDICAID 1366438426
Missouri MEDICAID 205311608

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