Thomas Randall in Missoula - Adolescent Medicine

Thomas Randall - NPI 1942210166

Thomas Randall is a Adolescent Medicine in Missoula, Montana. Thomas Randall practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Thomas Randall is 1942210166. The last update date is 2007-07-08.

Thomas Randall's current location address is 2835 Fourt Missoula Rd, Missoula, Montana. You can contact this provider via phone number 4065420391. The mailing address for Thomas Randall is 2835 Fourt Missoula Rd, Missoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Randall
Address 2835 Fourt Missoula Rd, Missoula, Montana
Phone Number 4065420391
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1942210166
Provider Enumeration Date 2006-08-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2835 Fourt Missoula Rd
City Missoula
State Montana (MT)
Post Code 59804
Phone Number 4065420391
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No MT8543
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
49759 MT --

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FAQs about Thomas Randall

What is the Thomas Randall's unique identification number?

The Thomas Randall has been assigned the NPI (National Provider Identifier) Number 1942210166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Thomas Randall's physical address?

The Thomas Randall is physically located at 2835 Fourt Missoula Rd, in the city of Missoula, MT, with the postal code 59804.

What is Thomas Randall's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas Randall's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.

On what date did Thomas Randall receive its 1942210166 assignment from the Centers for Medicare & Medicaid Services?

The Thomas Randall was assigned its 1942210166 on 2006-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Thomas Randall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas Randall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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