Individual
DR. JEFFREY G RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 E 3900 S, #5000, SALT LAKE CITY, UT 84124-1275
(801) 262-8486
(801) 284-8699
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2944031205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D1019
—
UT
Enumeration date
08/22/2005
Last updated
08/24/2023
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