Organization
JOHN F. RANDOLPH,M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANKLIN RANDOLPH M.D. (PRESIDENT)
(909) 580-6260
Entity
Organization
Contact information
Practice address
400 NORTH PEPPER AVENUE, COLTON, CA 92324-1819
(909) 580-1675
(909) 580-1916
Mailing address
PO BOX 7779, REDLANDS, CA 92375-0779
(909) 580-6260
(909) 580-1362
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065470
—
CA
Enumeration date
01/25/2007
Last updated
12/18/2009
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