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Charles D Randolph, MD
Family Medicine Physician in Grand Coulee, Washington
NPI 1760040281

Charles D Randolph is a Family Medicine Physician based in Grand Coulee, WA. Charles D Randolph practices in Grand Coulee, WA and has the professional credentials of MD. The NPI Number for Charles D Randolph is 1760040281 and holds a License No. MD61172546 (Washington).

The current practice location address for Charles D Randolph is 411 Fortuyn Rd, Grand Coulee, WA and can be reached out via phone at 509-633-1911 and via fax at 509-633-3644.

Location: 411 Fortuyn Rd, Grand Coulee, WA, 99133-8718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760040281
Provider Name
Charles D Randolph
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
411 Fortuyn Rd, Grand Coulee, WA, 99133-8718
Phone Number
509-633-1911
Fax Number
509-633-3644
Provider Enumeration Date
05/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136043 05 WA
institution
Provider Business Practice Location Address Details
Address
411 Fortuyn Rd
City
Grand Coulee
State
Washington
Zip
99133-8718
Phone Number
509-633-1911
Fax Number
509-633-3644
person
Provider Business Mailing Address Details
Address
411 Fortuyn Rd
City
Grand Coulee
State
Washington
Zip
99133-8718
Phone Number
509-633-1911
Fax Number
509-633-3644
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD61172546 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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