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Individual

DR. RANDY A GERTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 PARK HILL DR, FREDERICKSBURG, VA 22401
(540) 371-3010
(540) 899-9821
Mailing address
101 PARK HILL DR, FREDERICKSBURG, VA 22401
(540) 371-3010
(540) 899-9821

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
010123545
VA
207RN0300X
Nephrology Physician
Primary
0101235455
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007355524
AETNA
VA
05
010104203
VA
01
184311
ANTHEM BCBS
VA
01
P00207769
RAILROAD
VA
Enumeration date
08/31/2006
Last updated
04/28/2022
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