Individual provider · Type 1 NPI

Emily Marie Randall, P.A.

Medical Physician Assistant · Indianapolis, IN

NPI number 1902208358 Active

Practice location

5255 E Stop 11 Rd Ste 450
Indianapolis, IN 46237-6342

Call (317) 865-4800 Map

Fax (317) 865-4806

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9108234 (FL)
Medical Physician Assistant Primary 363AM0700X10003350A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1902208358

Emily Marie Randall, P.A.'s National Provider Identifier is 1902208358, issued on Sep 17, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 29, 2023.