Brian Randolph
Brian Randolph is registered under Durable Medical Equipment & Medical Supplies in O Fallon, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2015
Practice location Address checks out
1414 Sunburst DrO Fallon, MO 63366-3490 Not confirmed with CMS for 11 years — call before visiting
Phone: (314) 409-4292
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (MO) |
|---|
Record details
| NPI number | 1639553654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2015 |
| Last updated in NPPES | July 20, 2015 |
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