Individual
DR. RANDOLPH TERRY WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
501 S SHORE CTR W STE 103E, ALAMEDA, CA 94501-5762
(510) 521-0441
(510) 521-7473
Mailing address
501 S SHORE CTR W STE 103E, ALAMEDA, CA 94501-5762
(510) 521-0441
(510) 521-7473
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E23220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E23220
—
CA
Enumeration date
07/26/2006
Last updated
10/07/2020
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