NPI 1427153873

Bonnie L. Randolph, MD

Practitioner Family Medicine Physician Torrington, WY

Practice location

Address: 625 Albany Ave, Torrington, WY 82240-1530
Phone: (307) 532-2107
Mailing address: 625 Albany Avenue, Torrington, WY 82240

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5437A (WY)

Other Family Medicine providers in Wyoming →

Registry record

NPI: 1427153873
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2006
Record last updated: 6 Jan 2011

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.