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1659368017
RANDOLPH ROBERTS
CROWN POINT, IN
NPI
1659368017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IN 01036988)
Enumeration Date
2005-09-30
Last Update Date
2012-01-25
Business Address
-- RANDOLPH ROBERTS MD
1201 S MAIN ST
CROWN POINT, IN 46307-8481
Phone number: 219-757-6320
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Mailing Address
-- RANDOLPH ROBERTS MD
55 E 86TH AVE PO BOIX 10645
MERRILLVILLE, IN 46410-6382
Phone number: 219-769-1670
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