Provider Demographics
NPI:1235370313
Name:RIPPEY, RANDAL DALE (RVT)
Entity Type:Individual
Prefix:MR
First Name:RANDAL
Middle Name:DALE
Last Name:RIPPEY
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5002 S COWAN LOOP
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-9780
Mailing Address - Country:US
Mailing Address - Phone:573-864-9981
Mailing Address - Fax:
Practice Address - Street 1:5002 S COWAN LOOP
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-9780
Practice Address - Country:US
Practice Address - Phone:573-864-9981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography