Individual
ROBERT LAWRENCE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST STE 1700, SACRAMENTO, CA 95817
(916) 734-3398
Mailing address
4860 Y ST STE 3800, SACRAMENTO, CA 95817-2307
(916) 734-5885
(916) 734-7904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
360087-1205
UT
207X00000X
Orthopaedic Surgery Physician
Primary
G78312
CA
2086X0206X
Surgical Oncology Physician
360087-1205
UT
2086X0206X
Surgical Oncology Physician
G78312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2579
—
UT
Enumeration date
05/17/2006
Last updated
09/05/2018
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