Individual
DR. HENRY B RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 WORNALL RD, SUITE 240, KANSAS CITY, MO 64111-5941
(816) 932-7900
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
2010016523
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801817226
—
MO
Enumeration date
07/21/2006
Last updated
01/28/2012
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