DR. Randy M Ennen, M.D.
NPI #1124089222 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1124089222
- Entity Type
- Individual
- Name
- DR. Randy M Ennen, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Ophthalmology
- Credential
- M.D.
- Enumeration Date
- Mar 29, 2006
- Last Updated
- Mar 18, 2021
Practice Location
- Address
- 3312 S 70TH ST
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-5052
- Phone
- (479) 452-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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