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Individual

RANDY BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2731 HEALTHCARE DR, SYRACUSE, NE 68446-7880
(402) 269-7644
Mailing address
2731 HEALTHCARE DR, SYRACUSE, NE 68446-7880
(402) 269-7644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020028406
MO
207Q00000X
Family Medicine Physician
Primary
2378
NE
207Q00000X
Family Medicine Physician
73427-21
WI
207Q00000X
Family Medicine Physician
DOS-1916
HI
207Q00000X
Family Medicine Physician
U6846
TX
207R00000X
Internal Medicine Physician
OS20534
FL

Other

Enumeration date
06/19/2014
Last updated
08/08/2024
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