Organization · Type 2 NPI
Randall Dermatology, PC
Dermatology Physician · West Lafayette Bra, IN
Practice location
124 Sagamore Pkwy W
West Lafayette Bra, IN 47906-1569
Fax (765) 463-0905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician Primary | 207N00000X | 01042716 (IN) |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 01042716 (IN) |
| Physician Assistant | 363A00000X | 10000699A (IN) |
| Nurse Practitioner | 363L00000X | 710013695B (IN) |
| Nurse Practitioner | 363L00000X | 71001017A (IN) |
Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…
6 other providers at this address
- John K. Randall, RPH, MDMOHS-Micrographic Surgery Physician West Lafayette, IN NPI 1326076530
- Kathy J. Arnold, NPNurse Practitioner West Lafayette Bra, IN NPI 1275562829
- Katrina N. Masterson, NPNurse Practitioner West Lafayette, IN NPI 1164459863
- Laura L. Wavra, NPFamily Nurse Practitioner West Lafayette, IN NPI 1003876434
- Nicole M. Sherer, ARNPNurse Practitioner West Lafayette, IN NPI 1225282049
- Theresa E. Coyner, NPNurse Practitioner West Lafayette, IN NPI 1790711828
About NPI 1245340488
Randall Dermatology, PC's National Provider Identifier is 1245340488, issued on Aug 30, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in West Lafayette Bra, IN. The record was last updated on Dec 19, 2024.