Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN RANDOLPH
Active Sole ProprietorBRIAN RANDOLPH is a Durable Medical Equipment & Medical Supplies healthcare provider located in O FALLON, Missouri. NPI 1639553654 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · O FALLON, MO
Registration Details
- NPI Number
- 1639553654
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2015 (11.115315629173 yrs)
- Last Updated
- Jul 20, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1414 SUNBURST DRO FALLON, MO, 633663490Browse MO providers · Browse ZIP 63366
- Phone
- 3144094292
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
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.