Jeffrey G Randle, MD Valid NPI
Individual provider · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
- NPI
- 1063404424
- Type
- Individual (Type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208100000X
- License number
- 2944031205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-08-22
- Last updated
- 2023-08-24
Practice location
1160 E 3900 S, #5000
Salt Lake City, UT 84124-1275
(801) 262-8486