Individual provider · Type 1 NPI

Gabriel Michael Lee Randall, DO

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1679968069 Active

Practice location

4301 W Markham St
Little Rock, AR 72205-7101

Call (501) 526-6990 Map

Mailing address

4301 W Markham St # 508
Little Rock, AR 72205-7101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679968069

Gabriel Michael Lee Randall, DO's National Provider Identifier is 1679968069, issued on Apr 1, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Mar 31, 2018.