Individual
RANDALL L. STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5201
(740) 446-5761
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5201
(740) 446-5761
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15339
WV
207P00000X
Emergency Medicine Physician
Primary
35-05-5386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007331
ANATHEM BCBS
—
01
—
000000185318
UNISON MEDICAID #
OH
01
—
001714042
MOUNTAIN STATE BCBS
—
05
—
0041067000
—
WV
01
—
0665767
MOLINA MEDICAID #
OH
05
—
0665767
—
OH
01
—
080040490
RR MEDICARE
OH
01
—
310917085029
OH MEDICAID CARESOURCE
OH
Enumeration date
06/17/2006
Last updated
02/09/2015
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