RANDALL DERMATOLOGY, PC

Dermatology

Active Organization
NPI: 1245340488

Practice Address

124 SAGAMORE PKWY W
West Lafayette Bra, IN 47906

Phone: (765) 463-6722

Specialties

Specialty Code Primary License
Dermatology - MOHS-Micrographic Surgery 207ND0101X No 01042716 (IN)
Physician Assistant 363A00000X No 10000699A (IN)
Nurse Practitioner 363L00000X No 71001017A (IN)
Dermatology 207N00000X Yes 01042716 (IN)

Frequently Asked Questions

NPI 1245340488 is the National Provider Identifier for RANDALL DERMATOLOGY, PC, a Dermatology provider located in West Lafayette Bra, IN. This NPI was enumerated on August 30, 2006.

Quick Facts

NPI
1245340488
Type
Organization
Enumerated
Aug 30, 2006
Last Updated
Dec 19, 2024

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