Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxwell Ballard Randall, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164955548

Maxwell Ballard Randall, MD is a Student in an Organized Health Care Education/Training Program in Morgantown, West Virginia. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone: (304) 293-5323
Fax: (304) 293-8724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164955548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESApril 4, 2017

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