Individual provider · Type 1 NPI
Carrie Linda Randall, P.A.-C
Medical Physician Assistant · Stigler, OK
NPI number
1891980728
Active
Practice location
1505 E Main St, Stigler Health And Wellness
Stigler, OK 74462-2913
Fax (918) 967-3351
Mailing address
2525 Chandler Rd
Muskogee, OK 74403-5088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1077570 (OK) |
Medical Physician Assistant: Definition to come...
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About NPI 1891980728
Carrie Linda Randall, P.A.-C's National Provider Identifier is 1891980728, issued on Sep 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stigler, OK. The record was last updated on Jun 26, 2015.