IndividualActive
Randall Staley, MD
NPI 1295918449 · Child & Adolescent Psychiatry Physician · Springdale, AR
Provider details
- NPI number
- 1295918449
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- E-6379 (AR)
Practice location
4700 S Thompson St Ste C103
Springdale, AR 72764
Phone: (479) 571-6363
Fax: (479) 684-3941
Mailing address
Po Box 1523
Fayetteville, AR 72702-1523
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2024-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.