Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT JEFFREY RANDALL, MD
ActiveGRANT JEFFREY RANDALL, MD is a Dermatology healthcare provider located in LEES SUMMIT, Missouri. NPI 1245793728 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1245793728
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2019 (7.3772812188145 yrs)
- Last Updated
- Jun 27, 2024
- License
-
2024001206 (MO)
Practice Information
- Address
-
601 NW OBRIEN RDLEES SUMMIT, MO, 640631806Browse MO providers · Browse ZIP 64063
- Phone
- 8162871528
- Fax
- 3435030640
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| DAVID RYAN FIELEKE | MD | 1679760417 |
| JULIE ANN GREEN | MD | 1184935256 |
| THERESA KATHERINE MATTINGLY | M.D. | 1265849053 |
| MATTHEW WAYNE MCEWEN | MD | 1730686643 |
| ARAYA ZAESIM | MD | 1588142517 |
| DR. BREA NICOLE STURM | MD | 1710501184 |
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.