Randall Dermatology, PC
NPI #1245340488 in West Lafayette Bra, Indiana
Provider Information
- NPI Number
- 1245340488
- Entity Type
- Organization
- Organization Name
- Randall Dermatology, PC
- Primary Specialty
- Dermatology
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Dec 19, 2024
Practice Location
- Address
- 124 SAGAMORE PKWY W
- State
- Indiana
- ZIP Code
- 47906-1569
- Phone
- (765) 463-6722
Authorized Official
- Name
- JOHN K RANDALL, RPH,MD
- Title
- PRESIDENT/OWNER
- Phone
- (765) 463-6722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Physician Assistant |
| Nurse Practitioner |
| Dermatology |
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