Individual
RANDY D TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6227 N RIDGE RD, MADISON, OH 44057-2570
(440) 428-2565
(440) 717-0192
Mailing address
6227 N RIDGE RD, MADISON, OH 44057-2570
(440) 428-2565
(440) 717-0192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357967
ANTHEM
OH
05
—
0751146
—
OH
Enumeration date
11/08/2006
Last updated
07/08/2007
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