Individual
DR. RANDALL ELTON CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1279 E 1ST AVE STE A, CHICO, CA 95926-1542
(530) 891-9531
(530) 891-9533
Mailing address
944 BRYANT AVE, CHICO, CA 95926-2818
(530) 898-1742
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G 73893
CA
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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