Jon Charles Randall in Fpo - Physician Assistant

Jon Charles Randall - NPI 1114066289

Jon Charles Randall is a Physician Assistant in Fpo, . Jon Charles Randall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jon Charles Randall is 1114066289. The last update date is 2007-07-08.

Jon Charles Randall's current location address is Psc 827 Box 382, Fpo, . You can contact this provider via phone number 818116271. The mailing address for Jon Charles Randall is Psc 827 Box 382, Fpo, . To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Charles Randall
Address Psc 827 Box 382, Fpo,
Phone Number 818116271
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1114066289
Provider Enumeration Date 2007-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Psc 827 Box 382
City Fpo
State (AE)
Post Code 9617
Phone Number 818116271
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1049777
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jon Charles Randall

What is the unique provider identifier assigned to Jon Charles Randall?

The Jon Charles Randall has been issued the NPI (National Provider Identifier) 1114066289 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 physical location address of Jon Charles Randall?

The Jon Charles Randall is physically situated at Psc 827 Box 382, in the city of Fpo, state of AE, with the postal code 9617.

What is Jon Charles Randall's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jon Charles Randall is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Jon Charles Randall receive its 1114066289 assignment from the Centers for Medicare & Medicaid Services?

The Jon Charles Randall was assigned its 1114066289 by the Centers for Medicare & Medicaid Services on 2007-02-06.

As of what date were the Jon Charles Randall's details last updated?

The information pertaining to the Jon Charles Randall, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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