Dr BERNARD C RANDOLPH JR. is a male medical professional, specializing in Physical Medicine And Rehabilitation. He graduated in 1985 from Howard University College Of Medicine.
MERCY CLINIC EAST COMMUNITIES
10777 SUNSET OFFICE DR
SAINT LOUIS
MO
631271019
Tel:
| Npi | 1841286358 |
| Pac Id | 0749266252 |
| Professional Enrollment Id | I20100204000632 |
| Last Name | RANDOLPH |
| First Name | BERNARD |
| Middle Name | C |
| Suffix | JR. |
| Gender | M |
| Credential | |
| Medical School Name | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Group Practice Pac Id | 7214827922 |
| Number Of Group Practice Members | 350 |
| Line 1 Street Address | 10777 SUNSET OFFICE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 631271019 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 260020 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL ST LOUIS |
| Hospital Affiliation Ccn 2 | 260077 |
| Hospital Affiliation Lbn 2 | ST ANTHONY'S MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 260023 |
| Hospital Affiliation Lbn 3 | MERCY HOSPITAL JEFFERSON |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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