Individual
RANDALL DEAN HAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101
(573) 634-2620
(573) 761-1863
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 634-2620
(573) 761-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
112157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110159187
RAILROAD MEDICARE
MO
05
—
208718916
—
MO
Enumeration date
09/26/2005
Last updated
02/19/2016
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