Search › Utah › 101YM0800X
Paul Randak
NPI 1811486442 · on the registry since 2018 · sole proprietor
Practice
- Address
- 850 E 9400 S Ste 103
Sandy, UT 84094 - Phone
- (801) 450-0199
- Fax
- (888) 503-2513
- Organisation at this address
- R Jeff Easton Dmd Pc
Dr. Jeffrey A Iverson
Innovative Medicine Llc
Dream River Counseling Llc
William J Ellingson Dmd PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 8420 S Wasatch Blvd, Cottonwood Heights, UT
- 7602 S Main St, Midvale, UT
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-20
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 Utah