NPI 1063404424

Jeffrey G Randle, MD

Practitioner Physical Medicine & Rehabilitation Physician Salt Lake City, UT

Practice location

Address: 1160 E 3900 S #5000, Salt Lake City, UT 84124-1275
Phone: (801) 262-8486
Fax: (801) 284-8699
Mailing address: 280 S Main St, Bountiful, UT 84010-6236

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2944031205 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1063404424
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2005
Record last updated: 24 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.