Individual
RANDY L DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-RN R029897
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134346034
—
IA
05
—
137980000
—
MN
05
—
46022474348
—
NE
01
—
4993081
BLUE CROSS OF SD
SD
05
—
5755430
—
SD
01
—
9G056DO
MN BLUECROSS BS
SD
01
—
R029897
DAKOTACARE
SD
Enumeration date
04/20/2007
Last updated
07/31/2008
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