Individual
MR. RANDALL SHANE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 S 9TH ST, DUNCAN, OK 73533-4909
(580) 470-9490
(580) 470-9502
Mailing address
21 S 9TH ST, DUNCAN, OK 73533-4909
(580) 470-9490
(580) 470-9502
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
13-D-1200
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201453400001
BCBS
—
Enumeration date
02/09/2007
Last updated
07/08/2007
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