NPI 1184089203

Benjamin Randall, ATC

Practitioner Other Specialist/Technologist Orono, ME

Practice location

Address: 5747 Memorial Gym University of Maine, Orono, ME 04469-0001
Phone: (207) 581-1088

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence AT509 (ME)

Other Specialist/Technologist, Other providers in Maine →

Registry record

NPI: 1184089203
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Dec 2015
Record last updated: 16 Dec 2015

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.