Individual
RANDALL H. NATIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PARK AVE, # 1-A, BRECKENRIDGE, CO 80424
(970) 547-9200
(970) 262-2196
Mailing address
PO BOX 911416, DENVER, CO 80291-1416
(970) 547-9200
(970) 262-2196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37321
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01373216
—
CO
Enumeration date
06/23/2005
Last updated
07/07/2014
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