John K Randall in West Lafayette - Mohs-micrographic Surgery

John K Randall - NPI 1326076530

John K Randall is a Mohs-micrographic Surgery in West Lafayette, Indiana. John K Randall practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for John K Randall is 1326076530. The last update date is 2023-03-07.

John K Randall's current location address is 124 Sagamore Pkwy W, West Lafayette, Indiana. You can contact this provider via phone number 7654636722 and fax number 7654630905. The mailing address for John K Randall is 124 Sagamore Pkwy W, West Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name John K Randall
Address 124 Sagamore Pkwy W, West Lafayette, Indiana
Phone Number 7654636722
Fax Number 7654630905
Sole Proprietor N
Credentials RPH, MD

NPI Number Detail

NPI Number 1326076530
Provider Enumeration Date 2006-06-28
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 124 Sagamore Pkwy W
City West Lafayette
State Indiana (IN)
Post Code 479061569
Phone Number 7654636722
Fax Number 7654630905

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No 1042716
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
92649 IN BCBS
1042716 IN LICENSE
200207110A IN --
100415730A IN --
01042716B IN CSR

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FAQs about John K Randall

What is the unique 10-digit identifier code assigned to John K Randall by the Centers for Medicare & Medicaid Services?

The John K Randall has been issued the NPI (National Provider Identifier) 1326076530 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where John K Randall's facilities are geographically located?

The facilities of John K Randall are physically situated at the following location: 124 Sagamore Pkwy W, West Lafayette, IN, 479061569.

What is John K Randall's area of expertise and its corresponding taxonomy classification?

The John K Randall's field of specialization is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their areas of practice.

When was the John K Randall's 1326076530 issued?

The John K Randall's 1326076530 was issued on 2006-06-28.

When was the information regarding John K Randall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John K Randall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.

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