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Search › South Dakota › 152W00000X

Antwan Randolph, O.D

NPI 1568798841 · on the registry since 2009 · sole proprietor

Practice

Address
2549 Yukon Pl
Spearfish, SD 57783
Phone
(605) 549-1212
Fax
(605) 549-1313
Organisation at this address
Atlas Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152W00000X
152WV0400X
Licence states on file
MO, TN, SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota