Provider Demographics
NPI:1306835756
Name:HUNT, RANDALL E (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:E
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2000 MCLAIN ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-3661
Mailing Address - Country:US
Mailing Address - Phone:870-523-9270
Mailing Address - Fax:870-523-8735
Practice Address - Street 1:2000 MCLAIN ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3661
Practice Address - Country:US
Practice Address - Phone:870-523-9270
Practice Address - Fax:870-523-8735
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2010-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC7931207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine