Individual
DR. RANDALL BRIAN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32199 SANDPIPER DR, ORANGE BEACH, AL 36561-5735
(251) 504-1174
Mailing address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 949-3540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28126
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910240
—
AL
Enumeration date
06/07/2006
Last updated
07/16/2009
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