Individual provider · NPI-1
Steven Randel
Radiologic Technologist · Bethel, AK
NPI number1831332881
StatusActive
Last updated in NPPESApr 7, 2009
Details
- NPI
- 1831332881
- Entity type
- Individual (NPI-1)
- Name
- Steven Randel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2009
- Last updated
- Apr 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | 446597 | LA | Yes |
Practice location
700 Chief Eddie Hoffman HwyBethel, AK 99559
Phone 907-543-6000
Mailing address
Po Box 270Vivian, LA 71082-0270
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