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Individual

RANDY L DOWNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727

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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