Individual
JASON DAVID RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6693
WI
Other
Enumeration date
12/23/2013
Last updated
11/06/2025
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