Individual
JOSHUA RANDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-7033
Mailing address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 624-9333
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
11/20/2019
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