Individual
DR. JOHN FRANKLIN RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 E PARKCENTER CIR N, SAN BERNARDINO, CA 92408-2869
(909) 501-9932
Mailing address
PO BOX 7779, REDLANDS, CA 92375-0779
(951) 205-0937
(909) 580-1916
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G48108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065470
—
CA
Enumeration date
07/07/2005
Last updated
05/17/2019
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