Individual
MR. RANDY L MCDUFFY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 W QUITMAN ST, IUKA, MS 38852-1132
(662) 423-1000
(662) 423-1316
Mailing address
1507 W QUITMAN ST, IUKA, MS 38852-1132
(662) 423-1000
(662) 423-1316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R803373
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353870
—
MS
Enumeration date
06/21/2005
Last updated
07/08/2007
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