Individual
DR. RANDY C AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
456 WOODARDS FORD RD, CHESAPEAKE, VA 23322-4307
(757) 546-8029
(757) 546-9053
Mailing address
456 WOODARDS FORD RD, CHESAPEAKE, VA 23322-4307
(757) 546-8029
(757) 546-9053
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35049258
OH
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101055870
VA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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