Individual
RANDALL CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3111
(904) 346-0113
Mailing address
PO BOX 759101, BALTIMORE, MD 21275-0001
(703) 205-9790
(904) 596-2761
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101036606
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6042627
—
VA
Enumeration date
08/31/2006
Last updated
07/08/2007
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