RANDY C MICHAEL

CANNON AFB, NM
NPI1922637578
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  DO2024-0053)
Enumeration Date2020-04-06
Last Update Date2024-08-14
Business Address
RANDY C MICHAEL DO
224 W DL INGRAM AVENUE BUILDING 1408
CANNON AFB, NM 88103
Phone number: 575-784-2778
Mailing Address
RANDY C MICHAEL DO
224 W DL INGRAM AVENUE BUILDING 1408
CANNON AFB, NM 88103
Phone number:
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