Randolph Medical Associates

NPI #1104003987 in Roanoke, Alabama

Provider Information

NPI Number: 1104003987
Entity Type: Organization
Organization Name: Randolph Medical Associates
Subpart: Yes (part of a larger organization)
Parent Organization: RANDOLPH MEDICAL ASSOCIATES
Primary Specialty: Specialist/Technologist Cardiovascular - Sonography
Enumeration Date: Jan 24, 2008
Last Updated: Jan 24, 2008

Practice Location

Address: 965 US HWY 431
City: Roanoke
State: Alabama
ZIP Code: 36274
Phone: (334) 863-2150

Authorized Official

Name: DR. RUSSELL DOAK PETERSON, DO
Title: OWNER
Phone: (334) 863-2150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist Cardiovascular - Sonography — Sonography	246XS1301X	Primary

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