Timothy A Randall, MD

NPI #1245237262 in Longview, Washington

Provider Information

NPI Number: 1245237262
Entity Type: Individual
Name: Timothy A Randall, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 5, 2005
Last Updated: Jul 30, 2012

Practice Location

Address: 1718 E KESSLER BLVD
City: Longview
State: Washington
ZIP Code: 98632-1842
Phone: (360) 747-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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