Individual
DR. MATTHEW RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-2920
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250122
NC
208M00000X
Hospitalist Physician
Primary
10768
AZ
208M00000X
Hospitalist Physician
2019-01274
NC
Other
Enumeration date
04/02/2016
Last updated
03/18/2024
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