Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN K RANDALL, RPH, MD
ActiveObesity Medicine · WEST LAFAYETTE, IN
Registration Details
- NPI Number
- 1326076530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (19.815812648335 yrs)
- Last Updated
- Dec 19, 2024
- Licenses
-
01042716 (IN)01042716 (IN)01042716 (IN)
Practice Information
- Address
-
124 SAGAMORE PKWY WWEST LAFAYETTE, IN, 479061569Browse IN providers · Browse ZIP 47906
- Phone
- 7654636722
- Fax
- 7654630905
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Dermatology
- Additional Specialty
- Obesity Medicine
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.