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Individual

RANDELL S JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
601 W 5TH AVE, SUITE 500, SPOKANE, WA 99204-2756
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
037924
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010147511
REGENCE BS OF IDAHO
ID
01
0815613
DEPT OF LABOR & INDUSTRIE
WA
01
28404
GROUP HEALTH NW
WA
05
4303907
MT
01
8238JA
ASURIS NW HEALTH
WA
01
8938962
CRIME VICTIMS
WA
05
9604554
WA
01
P00159866
RR MEDICARE
WA
Enumeration date
03/14/2006
Last updated
03/11/2008
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