Organization
RANDOLPH MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL D PETERSON DO (PRESIDENT)
(334) 863-2141
Entity
Organization
Contact information
Practice address
965 US HWY 431, ROANOKE, AL 36274
(334) 863-2141
(334) 863-8733
Mailing address
PO BOX 625, 965 US HWY 431, ROANOKE, AL 36274-0625
(334) 863-2141
(334) 863-8733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-436
AL
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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