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Individual

DR. RANDALL S PEYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21475 RIDGETOP CIR, SUITE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-4999
Mailing address
21475 RIDGETOP CIR, STE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-4999

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101052246
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200032738
RAIL ROAD MEDICARE
VA
05
6405690
VA
Enumeration date
11/14/2005
Last updated
04/14/2021
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