Michael T Randle MD

NPI 1124006853 - Internal Medicine - 207R00000X

NPI Details
NPI 1124006853
Gender Male
Enumeration Date 01/03/2006
Last Updated 07/02/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1900 16TH ST
GREELEY CO, 80631-5114, US
Phone (970) 350-2438
Fax (970) 350-2473
Business Location
1900 16TH ST
GREELEY CO, 80631-5114, US
Phone (970) 350-2438
Fax (970) 350-2473
Toxanomy
Taxonomy Code 207R00000X
License State Colorado
License Number 39374
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According to our database, Dr. Michael T Randle MD NPI is 1124006853, taxonomy code is 207R00000X and license number is 39374, license state is located at Colorado. Michael T Randle MD physically located at 1900 16th St, Greeley CO, 80631-5114. NPI Number Michael T Randle MD has the Individual type.

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1124006853 NPI number is provided on an as is basis without warranty of any kind. 1124006853 is maintained by the National Plan & Provider Enumeration System. The contents of Michael T Randle MD are for informational purposes only.