Dr RANDALL S BEALLIS DO is a male medical professional, specializing in Undefined Physician Type (specify). He graduated in 1995.
7301 ROGERS AVE
FORT SMITH
AR
729034100
Tel:
| Npi | 1407806623 |
| Pac Id | 6103888037 |
| Professional Enrollment Id | I20080827000628 |
| Last Name | BEALLIS |
| First Name | RANDALL |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Primary Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| Secondary Specialty 1 | FAMILY MEDICINE |
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| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | |
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| Line 1 Street Address | 7301 ROGERS AVE |
| Line 2 Street Address | |
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| City | FORT SMITH |
| State | AR |
| Zip Code | 729034100 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 040062 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL FORT SMITH |
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| Professional Accepts Medicare Assignment | Y |
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