Individual
DR. RANDALL JAMES KRYSTOSEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 SAINT MARYS DR W, SUITE 300, EVANSVILLE, IN 47714-0512
(812) 477-9241
(812) 474-6708
Mailing address
801 SAINT MARYS DR W, SUITE 300, EVANSVILLE, IN 47714-0512
(812) 477-9241
(812) 474-6708
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
1028039A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64755499
—
KY
Enumeration date
07/13/2005
Last updated
07/09/2007
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