Individual
RANDALL M. TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-5261
(317) 528-5026
Mailing address
PO BOX 7112, DEPT. #31, INDIANAPOLIS, IN 46207-7112
(866) 516-2307
(888) 516-2306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01035235
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325030
—
IN
Enumeration date
08/12/2006
Last updated
09/08/2015
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