Individual
DR. RANDEL O CARDOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4321 53RD AVE, BETTENDORF, IA 52722-1269
(563) 421-5310
Mailing address
4321 53RD AVE, BETTENDORF, IA 52722-1269
(563) 421-5310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036070172
IL
207Q00000X
Family Medicine Physician
Primary
23849
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028886
—
IA
Enumeration date
03/16/2006
Last updated
04/29/2021
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