Randall, Thomas

Randall, Thomas is an individual health care provider with primary practice located at 2835 Fourt Missoula Rd Ste 205 Missoula Family Pediatrics, Missoula MT 59804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Randall, Thomas can be contacted via phone (406) 542-0391.

Contact Information

Primary practice address
2835 Fourt Missoula Rd Ste 205 Missoula Family Pediatrics Missoula MT 59804
Phone: (406) 542-0391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT8543 Montana
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MT8543 Montana

Profile Details

NPI number 1942210166
LBN Legal business name Randall, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942210166 NPPES
Montana MEDICAID 0049759

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