Randolph, Bruce Wendell

Randolph, Bruce Wendell is an individual health care provider with primary practice located at 3960 Knight Arnold Rd Suite 103, Memphis TN 38118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Randolph, Bruce Wendell can be contacted via phone (901) 547-1911.

Contact Information

Primary practice address
3960 Knight Arnold Rd Suite 103 Memphis TN 38118
Phone: (901) 547-1911
Fax: (901) 547-1905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 27686 Tennessee
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 10835 Mississippi
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 16897 Oklahoma

Profile Details

NPI number 1538235171
LBN Legal business name Randolph, Bruce Wendell
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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