Organization
JAMES G RANDOLPH MD
Active
Organization
JAMES G RANDOLPH MD
Active
Other names
Big Horn Bone and Joint Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G RANDOLPH M.D. (M.D., OWNER)
(307) 347-8262
Entity
Organization
Contact information
Practice address
151 S 6TH ST, WORLAND, WY 82401-3339
(307) 347-8262
(307) 347-8265
Mailing address
PO BOX 463, WORLAND, WY 82401-0463
(307) 347-8262
(307) 347-8265
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102379900
—
WY
Enumeration date
10/26/2006
Last updated
07/22/2010
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