Individual
DANA MARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
235 S 8TH ST, 1ST FLOOR, PHILADELPHIA, PA 19106-3519
(215) 829-3493
Mailing address
235 S 8TH ST, 1ST FLOOR, PHILADELPHIA, PA 19106-3519
(215) 829-3493
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055363
PA
Other
Enumeration date
12/23/2010
Last updated
07/31/2015
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