Individual
RANDALL C FEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1232 PERIMETER PKWY, SUITE 101, VIRGINIA BEACH, VA 23454-5924
(757) 425-8590
(757) 422-5107
Mailing address
4211 MONARCH WAY 100, NORFOLK, VA 23508-2540
(757) 738-1400
(757) 489-3092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101037084
VA
Other
Enumeration date
08/11/2006
Last updated
10/26/2015
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