Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 35067907 | OH |
Y | 2086S0129X | Vascular Surgeon | 61503 | TN |
NPI | 1053300319 |
---|---|
Provider Name | Randall William Franz |
First Address | Memphis, TN 38104-6655 |
Second Address | Memphis, TN 38104-7542 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 11/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G50704 | (02) | OH |