RANDHI WIJEKULARATNE PETERSON

MERIDIAN, ID
NPI1831451681
Former NameRANDHI M WIJEKULARATNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: ID  M15216)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  Q5902)
Enumeration Date2012-06-07
Last Update Date2020-06-17
Business Address
Dr. RANDHI WIJEKULARATNE PETERSON MD
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 702-493-9051
Mailing Address
Dr. RANDHI WIJEKULARATNE PETERSON MD
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511