Individual
DR. RANDLE H. STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2160
(570) 271-6523
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD049309L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD049309L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001406207
—
PA
Enumeration date
05/04/2006
Last updated
07/30/2020
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