Jeffrey G Randle MD

NPI 1063404424 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1063404424
Gender Male
Enumeration Date 08/22/2005
Last Updated 03/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1160 E 3900 S
#5000
SALT LAKE CITY UT, 84124-1275, US
Phone (801) 262-8486
Fax (801) 284-8699
Business Location
1160 E 3900 S
#5000
SALT LAKE CITY UT, 84124-1275, US
Phone (801) 262-8486
Fax (801) 284-8699
Toxanomy
Taxonomy Code 208100000X
License State Utah
License Number 2944031205
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According to our database, Dr. Jeffrey G Randle MD NPI is 1063404424, taxonomy code is 208100000X and license number is 2944031205, license state is located at Utah. Jeffrey G Randle MD physically located at 1160 E 3900 S, Salt Lake City UT, 84124-1275. NPI Number Jeffrey G Randle MD has the Individual type.

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1063404424 NPI number is provided on an as is basis without warranty of any kind. 1063404424 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey G Randle MD are for informational purposes only.