Randall E Champion

NPI #1902363849 in Farmington, Arkansas

Provider Information

NPI Number: 1902363849
Entity Type: Individual
Name: Randall E Champion
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Feb 27, 2019
Last Updated: Feb 27, 2019

Practice Location

Address: 120 SOUTHWINDS RD STE 2
City: Farmington
State: Arkansas
ZIP Code: 72730-8652
Phone: (479) 300-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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