Orthopaedic Surgery, Orthopaedic Surgery of the Spine
GANNON RANDOLPH M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528173697 · enumerated 2006-08-20 · record updated 2021-07-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
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Addresses and phones
- Practice location 1800 SE MOBERLY LN, BENTONVILLE, AR, 72712-7017 (479) 521-2752 Fax (479) 521-4603 Google Maps Apple Maps OpenStreetMap
- Mailing address 3317 N WIMBERLY DR, FAYETTEVILLE, AR, 72703-4056 (479) 521-2752 Fax (479) 521-4603 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X · License E5957 AR
- Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X · Primary · License E5957 AR
In this directory
AR Benton County Bentonville Orthopaedic Surgery, Orthopaedic Surgery of the Spine
Locations and evidence
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Practice location
BENTONVILLE, AR, 727127017
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.