DR. BRYAN RANDOLPH, D.P.M.
Podiatrist
Active
Individual
NPI: 1649276007
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | DPM.PD290R (LA) |
Frequently Asked Questions
NPI 1649276007 is the National Provider Identifier for DR. BRYAN RANDOLPH, D.P.M., a Podiatrist provider located in Shreveport, LA. This NPI was enumerated on June 21, 2005.
DR. BRYAN RANDOLPH, D.P.M. practices at 1449 E BERT KOUN LOOP STE 101, Shreveport, LA 71105.
Quick Facts
- NPI
- 1649276007
- Type
- Individual
- Enumerated
- Jun 21, 2005
- Last Updated
- Jun 17, 2025
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