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Contact Information

GEORGE R RANDALL, MD
310 S HILLSIDE ST
WICHITA, KS67211-2193
 Phone: 316-684-2838
 Fax: 316-684-3326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GEORGE R RANDALL · (Male)

NPI # 1497756886
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 17060
  • Other 4070797 AETNA
  • Other 2745673005 CIGNA
  • KS Other 101370 BLUE CROSS BLUE SHIELD
  • KS Other 10084850B FIRST GUARD
  • KS Other 200811 HEALTH PARTNERS OF KS
  • KS Other 758 PREFERRED HEALTH SYSTEMS
  • KS Other 758 PREFERRED PLUS OF KS
  • KS Other 101370 WAL-MART
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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