Individual
DR. RANDOLPH LEIGH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 E 20TH ST, CHEYENNE, WY 82001-4021
(307) 634-2020
(307) 635-6510
Mailing address
1300 E 20TH ST, CHEYENNE, WY 82001-4021
(307) 634-2020
(307) 635-6510
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3308A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104145200
—
WY
Enumeration date
05/27/2005
Last updated
07/08/2007
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