Individual
DR. RANDOLPH COTTON BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4424 E FLAMINGO AVE, SUITE 300, NAMPA, ID 83687-9306
(208) 302-0200
(208) 302-0255
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-0200
(208) 302-0255
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
32416
CO
207RC0000X
Cardiovascular Disease Physician
Primary
M-6985
ID
Other
Enumeration date
10/11/2005
Last updated
01/03/2024
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