Thomas Richard Randoll, DO
Internal Medicine in Columbia, MO. Individual provider (NPI-1).
NPI number1962505180
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962505180
- Entity type
- Individual (NPI-1)
- Name
- Thomas Richard Randoll
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2005018440 | MO | Yes |
Practice location
1 Hospital DrColumbia, MO 65212-0001
Phone 573-884-8176
Mailing address
Po Box 7687Columbia, MO 65205-7687
Phone 573-882-2259 · Fax 573-884-8526
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