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Individual
RANDALL GORDON STERN
Active
Individual
RANDALL GORDON STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G33214
CA
2086S0129X
Vascular Surgery Physician
Primary
G33214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G332140
—
CA
01
—
P00170705
RAILROAD MEDICARE
CA
Enumeration date
08/30/2006
Last updated
11/07/2019
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