Amber Tiffany Randolph, MD

NPI #1194200121 in Maywood, Illinois

Provider Information

NPI Number: 1194200121
Entity Type: Individual
Name: Amber Tiffany Randolph, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Sep 25, 2018
Last Updated: Jun 20, 2023

Practice Location

Address: 2160 S 1ST AVE
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (888) 584-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Ophthalmology	207W00000X	Primary

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