Individual
CHRIS LEE RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124
(440) 312-3130
Mailing address
18369 JASMINE LN, CHAGRIN FALLS, OH 44023-4806
(614) 563-0751
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.011008
OH
Other
Enumeration date
06/28/2010
Last updated
02/06/2019
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