Individual
DR. CRAIG RANDALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1814
Mailing address
124 RABEY FARM RD, SUFFOLK, VA 23435-2255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01053851A
IN
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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