Dr. Jeffrey G Randle
Physical Medicine & Rehabilitation Doctor
1160 E 3900 S #5000
Salt Lake City
, Utah 84124-1275
Dr. Jeffrey G Randle
Physical Medicine & Rehabilitation Doctor
1160 E 3900 S #5000
Salt Lake City
, Utah 84124-1275
(801) 284-8699
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Jeffrey G Randle
- 1160 E 3900 S #5000
- Salt Lake City, UT
- Zip : 84124-1275
- Fax : (801) 284-8699
- Phone : (801) 262-8486
Second Address
- Dr. Jeffrey G Randle
- 1160 E 3900 S #5000
- Salt Lake City, UT
- Zip : 84124-1275
- Fax : (801) 284-8699
- Phone : (801) 262-8486
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 2944031205 | UT |
National Provider Identifier
| NPI | 1063404424 |
|---|---|
| Provider Name | Dr. Jeffrey G Randle |
| First Address | Salt Lake City, UT 84124-1275 |
| Second Address | Salt Lake City, UT 84124-1275 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 09/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C63853 | (02) | UT |
| D1019 | (05) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.