Provider Demographics
NPI:1720204670
Name:MARCH, RANDALL GAY (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:GAY
Last Name:MARCH
Suffix:
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 AVONDALE AVE.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-1387
Mailing Address - Country:US
Mailing Address - Phone:916-482-4150
Mailing Address - Fax:916-482-4493
Practice Address - Street 1:1840 AVONDALE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-1387
Practice Address - Country:US
Practice Address - Phone:916-482-4150
Practice Address - Fax:916-482-4493
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 23901111N00000X, 111NI0013X, 111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NN0400XChiropractic ProvidersChiropractorNeurology