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Dr. Randal T Qualls, MD
Family Medicine Physician in Lebanon, Missouri
NPI 1922108422

Randal T Qualls is a Family Medicine Physician based in Kansas City, MO. Randal T Qualls practices in Lebanon, MO and has the professional credentials of MD. The NPI Number for Randal T Qualls is 1922108422 and holds a License No. 103201 (Missouri).

The current practice location address for Randal T Qualls is 1216 Deadra Dr, Lebanon, MO and can be reached out via phone at 417-730-5650 and via fax at 417-730-5655.

Location: 1216 Deadra Dr, Lebanon, MO, 64180-2843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922108422
Provider Name
Randal T Qualls
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1216 Deadra Dr, Lebanon, MO, 64180-2843
Phone Number
417-730-5650
Fax Number
417-730-5655
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
247943517 05 MO
institution
Provider Business Practice Location Address Details
Address
1216 Deadra Dr
City
Lebanon
State
Missouri
Zip
65536-4669
Phone Number
417-730-5650
Fax Number
417-730-5655
person
Provider Business Mailing Address Details
Address
1216 Deadra Dr
City
Lebanon
State
Missouri
Zip
65536-4669
Phone Number
417-730-5650
Fax Number
417-730-5655
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
103201 (Missouri)
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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