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Individual
DR. RANDALL T DUCKERT
Active
Individual
DR. RANDALL T DUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20144
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257759
—
NE
05
—
1376508960
—
IA
05
—
470376604-02
—
NE
01
—
P00060114
RAILROAD MEDICARE
NE
Enumeration date
04/18/2006
Last updated
02/08/2022
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