Charles D Randolph, MD
NPI #1760040281 in Grand Coulee, Washington
Provider Information
- NPI Number
- 1760040281
- Entity Type
- Individual
- Name
- Charles D Randolph, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- May 30, 2019
- Last Updated
- Jul 7, 2022
Practice Location
- Address
- 411 FORTUYN RD
- City
- Grand Coulee
- State
- Washington
- ZIP Code
- 99133-8718
- Phone
- (509) 633-1911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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