Thomas Randall MD

NPI 1942210166 - Pediatrics - 208000000X

NPI Details
NPI 1942210166
Gender Male
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2835 FOURT MISSOULA RD
STE 205 MISSOULA FAMILY PEDIATRICS
MISSOULA MT, 59804, US
Phone (406) 542-0391
Fax
Business Location
PO BOX 16900
MISSOULA MT, 59808, US
Phone (406) 327-4620
Fax (406) 549-5928
Toxanomy
Taxonomy Code 208000000X
License State Montana
License Number MT8543
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According to our database, Thomas Randall MD NPI is 1942210166, taxonomy code is 208000000X and license number is MT8543, license state is located at Montana. Thomas Randall MD physically located at 2835 Fourt Missoula Rd, Missoula MT, 59804. NPI Number Thomas Randall MD has the Individual type.

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1942210166 NPI number is provided on an as is basis without warranty of any kind. 1942210166 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Randall MD are for informational purposes only.