John K Randall is a MOHS-Micrographic Surgery Physician based in West Lafayette, IN and is specialized in MOHS-Micrographic Surgery. John K Randall practices in West Lafayette, IN and has the professional credentials of RPH,MD. The NPI Number for John K Randall is 1326076530 and holds a License No. 01042716 (Indiana).
The current practice location address for John K Randall is 124 Sagamore Pkwy W, West Lafayette, IN and can be reached out via phone at 765-463-6722 and via fax at 765-463-0905.
Identifier | Type | State | Issuer |
---|---|---|---|
200207110A | 05 | IN | |
000000092649 | 01 | IN | BCBS |
100415730A | 05 | IN | |
01042716B | 01 | IN | CSR |
01042716 | 01 | IN | LICENSE |
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