Healthcare Provider Details
I. General information
NPI: 1457357899
Provider Name (Legal Business Name): RANDALL ALAN OYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/21/2005
Last Update Date: 08/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2102 HARRISBURG PIKE
LANCASTER PA
17604-3200
US
IV. Provider business mailing address
2102 HARRISBURG PIKE
LANCASTER PA
17601-2644
US
V. Phone/Fax
- Phone: 717-544-3600
- Fax: 717-544-3604
- Phone: 717-544-3600
- Fax: 717-544-3604
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | G74216 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | MD026800E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: