Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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GEOFFREY M RANDOLPH MD

Surgery Yellow Pages

Fort Wayne, Indiana

Provider NPI: 1194726380

Provider Information:
 GEOFFREY M RANDOLPH MD


Practice Location:
11141 PARKVIEW PLAZA DR STE 300  FORT WAYNE, IN 46845 US
Tel: 260-490-7111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
IN01035742A

Other Provider Identifiers:

IssuerNumberStateType
100353210IN05
MEDICARE RAILROAD240007528IN01
0467338OH05
104366820MI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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