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NPI Code Detail

MEDICARE: WILLIAM RANDALL COMPTON M.D.

MEDICARE:   WILLIAM RANDALL COMPTON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician016760ME

General Provider Information

NPI Number : 1629098637
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM RANDALL COMPTON M.D.
Provider Business Mailing Address
First Line : 2531 ASPEN SPRINGS DR
Second Line :
City : PARK CITY
State : UT
Zip : 84060-7537
Country : US
Telephone Number : 435-615-9307
Fax Number :
Provider Business Practice Location Address
First Line : 2531 ASPEN SPRINGS DR
Second Line :
City : PARK CITY
State : UT
Zip : 84060-7537
Country : US
Telephone Number : 435-615-9307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ WILLIAM RANDALL COMPTON M.D.” Practice Location

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