Individual
BENJAMIN EDWARD RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(855) 600-5163
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(855) 600-5163
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001237099
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60725325
WA
Other
Enumeration date
01/03/2014
Last updated
03/22/2017
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