Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES D RANDOLPH, MD
ActiveCHARLES D RANDOLPH, MD is a Family Medicine healthcare provider located in GRAND COULEE, Washington. NPI 1760040281 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND COULEE, WA
Registration Details
- NPI Number
- 1760040281
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2019 (7.1921115000236 yrs)
- Last Updated
- Jul 7, 2022
- License
-
MD61172546 (WA)
Practice Information
- Address
-
411 FORTUYN RDGRAND COULEE, WA, 991338718Browse WA providers · Browse ZIP 99133
- Phone
- 5096331911
- Fax
- 5096333644
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND COULEE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JACOB PETERSEN CHAFFEE | MD | 1811983562 |
| DR. ANDREW CECIL CASTRODALE | MD | 1689661712 |
| ROY ALLEN MYERS | M.D. | 1275572521 |
| JENNIFER KNOX | MD | 1134516933 |
| KATHLEEN KELLY COHEN | D.O. | 1922489343 |
| PHOEBE SELENA HUGHES | — | 1548848021 |
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.