Randall Dermatology, PC
Randall Dermatology, PC is a Dermatology Physician in West Lafayette Bra, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 5
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
124 Sagamore Pkwy WWest Lafayette Bra, IN 47906-1569
Phone: (765) 463-6722
Fax: (765) 463-0905
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 01042716 (IN) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 01042716 (IN) |
| Physician Assistant | Taxonomy 363A00000X · Licence 10000699A (IN) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 710013695B (IN) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 71001017A (IN) |
Record details
| NPI number | 1245340488 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Randall — President/Owner · (765) 463-6722 |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | December 19, 2024 |
| Certification date | December 19, 2024 |
| Mailing address | 124 Sagamore Pkwy W, West Lafayette Bra, IN 47906-1569 |