Individual
DR. GEORGE RALPH RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 S HILLSIDE ST, WICHITA, KS 67211-2193
(316) 684-2838
(316) 684-3326
Mailing address
818 N EMPORIA ST, STE 200, WICHITA, KS 67214-3729
(316) 263-0296
(316) 684-3326
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10084850B
FIRST GUARD
KS
01
—
101370
BLUE CROSS BLUE SHIELD
KS
01
—
200811
HEALTH PARTNERS OF KS
KS
01
—
2745673005
CIGNA
—
01
—
4070797
AETNA
—
01
—
758
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
08/09/2005
Last updated
07/08/2007
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