Individual
RANDALL G NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 VISTA LN, CARSON CITY, NV 89703-4644
(775) 883-1030
(775) 883-4677
Mailing address
1425 VISTA LN, CARSON CITY, NV 89703-4644
(775) 883-1030
(775) 883-4677
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10377
NV
208800000X
Urology Physician
A82439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500204
—
NV
01
—
CC7321
ANTHEM BCBS NEVADA
NV
Enumeration date
03/05/2007
Last updated
11/08/2022
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