Provider Demographics
NPI:1316204712
Name:HYER, RANDALL N (MD, PHD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:N
Last Name:HYER
Suffix:
Gender:M
Credentials:MD, PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 391
Mailing Address - Street 2:
Mailing Address - City:GWYNEDD VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19437-0391
Mailing Address - Country:US
Mailing Address - Phone:267-419-8045
Mailing Address - Fax:
Practice Address - Street 1:1503 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-1905
Practice Address - Country:US
Practice Address - Phone:267-419-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94008462083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine