RANDY EUGENE RICHARDS

DECATUR, IL
NPI1700970324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209000771)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- RANDY EUGENE RICHARDS
2300 N EDWARD ST
DECATUR, IL 62526
Phone number: 217-876-8121
Mailing Address
-- RANDY EUGENE RICHARDS
2300 N EDWARD ST ATT BUSINESS OFFICE
DECATUR, IL 62526
Phone number: 217-876-8121