Individual
DR. DAVID ALAN RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
619 SOUTH 19TH STREET, NHB 525, BIRMINGHAM, AL 35294
(205) 934-4680
(205) 934-3100
Mailing address
PO BOX 55823, BIRMINGHAM, AL 35255
(205) 996-2244
(205) 996-2254
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A79066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910610
—
AL
01
—
08909026
MISSISSIPPI MEDICAID
AL
01
—
515-42016
BC BS
AL
Enumeration date
01/04/2007
Last updated
10/11/2007
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