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Dr. Jacob Russell Randich, DPM
Podiatrist in Sikeston, Missouri
NPI 1922668755

Jacob Russell Randich is a Podiatrist based in Sikeston, MO. Jacob Russell Randich practices in Sikeston, MO and has the professional credentials of DPM. The NPI Number for Jacob Russell Randich is 1922668755 and holds a License No. 135.001050 (Missouri).

The current practice location address for Jacob Russell Randich is 203 Plaza Drive, Sikeston, MO and can be reached out via phone at 573-475-6488 and via fax at 573-475-6489.

Location: 203 Plaza Drive, Sikeston, MO, 63801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922668755
Provider Name
Jacob Russell Randich
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
203 Plaza Drive, Sikeston, MO, 63801
Phone Number
573-475-6488
Fax Number
573-475-6489
Provider Enumeration Date
06/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
203 Plaza Drive
City
Sikeston
State
Missouri
Zip
63801
Phone Number
573-475-6488
Fax Number
573-475-6489
person
Provider Business Mailing Address Details
Address
203 Plaza Drive
City
Sikeston
State
Missouri
Zip
63801
Phone Number
573-475-6488
Fax Number
573-475-6489
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
135.001050 (Illinois)
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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