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Individual

RANDALL G NIXON

Active
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Individual

RANDALL G NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10377
NV
208800000X
Urology Physician
A82439
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500204
—
NV
01
—
CC7321
ANTHEM BCBS NEVADA
NV
Enumeration date
03/05/2007
Last updated
11/08/2022
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