Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEOFFREY M RANDOLPH, MD
ActiveGEOFFREY M RANDOLPH, MD is a Plastic Surgery healthcare provider located in FORT WAYNE, Indiana. NPI 1194726380 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · FORT WAYNE, IN
Registration Details
- NPI Number
- 1194726380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (20.82499238427 yrs)
- Last Updated
- Jul 23, 2018
- License
-
01035742A (IN)
Practice Information
- Address
-
11141 PARKVIEW PLAZA DR STE 300FORT WAYNE, IN, 468451715Browse IN providers · Browse ZIP 46845
- Phone
- 2604907111
- Fax
- 2604909301
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| GUY G CREVECOEUR | MD | 1124029079 |
| DR. JOSEPH M MLAKAR | MD | 1801897244 |
| KEVIN L BERNING | MD | 1164423620 |
| MATTHEW E SHAMBAUGH | MD | 1700888617 |
| BRIAN J LEE | MD | 1508867656 |
| ALBERT M MORRISON | MD | 1326049479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.