Donald Randall PHD

NPI 1053346494 - Psychologist - 103TC0700X

NPI Details
NPI 1053346494
Gender Male
Enumeration Date 07/12/2006
Last Updated 10/17/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
630 MEDICAL DR
BOUNTIFUL UT, 84010-4908, US
Phone (801) 299-2186
Fax
Business Location
630 MEDICAL DR
BOUNTIFUL UT, 84010-4908, US
Phone (801) 299-2186
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Utah
License Number 2663822501
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According to our database, Dr. Donald Randall PHD NPI is 1053346494, taxonomy code is 103TC0700X and license number is 2663822501, license state is located at Utah. Donald Randall PHD physically located at 630 Medical Dr, Bountiful UT, 84010-4908. NPI Number Donald Randall PHD has the Individual type.

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1053346494 NPI number is provided on an as is basis without warranty of any kind. 1053346494 is maintained by the National Plan & Provider Enumeration System. The contents of Donald Randall PHD are for informational purposes only.