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Individual
DR. GEORGE RALPH RANDALL
Active
Individual
DR. GEORGE RALPH RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10084850B
FIRST GUARD
KS
01
—
101370
BLUE CROSS BLUE SHIELD
KS
01
—
200811
HEALTH PARTNERS OF KS
KS
01
—
2745673005
CIGNA
—
01
—
4070797
AETNA
—
01
—
758
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
08/09/2005
Last updated
07/08/2007
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