Randall Sercombe is a Pediatrics in Edina, Minnesota. Randall Sercombe practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Randall Sercombe is 1699799007. The last update date is 2007-07-08.
Randall Sercombe's current location address is 6545 France Ave S, Edina, Minnesota. You can contact this provider via phone number 9529209191 and fax number 9529200232. The mailing address for Randall Sercombe is 6545 France Ave S, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Sercombe |
|---|---|
| Address | 6545 France Ave S, Edina, Minnesota |
| Phone Number | 9529209191 |
| Fax Number | 9529200232 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699799007 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6545 France Ave S |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554352131 |
| Phone Number | 9529209191 |
| Fax Number | 9529200232 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36050 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2M165SE | MN | BLUE CROSS BLUE SHIELD | |
| 1227878 | MEDICA | ||
| CP9021000008 | PREFERRED ONE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Sercombe?
The Randall Sercombe has been issued the NPI (National Provider Identifier) 1699799007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Randall Sercombe is physically located?
The Randall Sercombe is physically situated at the following address: 6545 France Ave S, Edina, MN, 554352131.
What is the Randall Sercombe's area of specialization and corresponding taxonomy classification?
The Randall Sercombe's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1699799007 to Randall Sercombe?
The Centers for Medicare & Medicaid Services assigned the 1699799007 to Randall Sercombe on 2006-07-27.
As of what date were the details related to Randall Sercombe most recently updated or revised?
The information pertaining to Randall Sercombe, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.