Individual
DR. LOUIS RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3635 OLD COURT RD, SUITE 405, BALTIMORE, MD 21208-3915
(410) 484-2700
Mailing address
3635 OLD COURT RD, SUITE 405, BALTIMORE, MD 21208-3915
(410) 484-2700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D17097
MD
Other
Enumeration date
03/05/2006
Last updated
07/08/2007
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