person
Dr. Bryan Wayne Randolph, DPM
Podiatrist in Shreveport, Louisiana
NPI 1649276007

Bryan Wayne Randolph is a Podiatrist based in Shreveport, LA. Bryan Wayne Randolph practices in Shreveport, LA and has the professional credentials of DPM. The NPI Number for Bryan Wayne Randolph is 1649276007 and holds a License No. PD290R (Louisiana).

The current practice location address for Bryan Wayne Randolph is 7821 Youree Dr, Shreveport, LA and can be reached out via phone at 318-213-3668 and via fax at 318-213-3670.

Location: 7821 Youree Dr, Shreveport, LA, 71105-5505
person
Provider Profile Details
NPI Number
1649276007
Provider Name
Bryan Wayne Randolph
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7821 Youree Dr, Shreveport, LA, 71105-5505
Phone Number
318-213-3668
Fax Number
318-213-3670
Provider Enumeration Date
06/21/2005
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1436127 05 LA
institution
Provider Business Practice Location Address Details
Address
7821 Youree Dr
City
State
Zip
71105-5505
Phone Number
318-213-3668
Fax Number
318-213-3670
person
Provider Business Mailing Address Details
Address
7821 Youree Dr
City
State
Zip
71105-5505
Phone Number
318-213-3668
Fax Number
318-213-3670
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
PD290R (Louisiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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