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Individual

DR. RANDALL D BEHRMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2780
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2780

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3801
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100201940B
OK
01
249230404
INDIVIDUAL MEDICARE NUMBE
OK
Enumeration date
07/26/2005
Last updated
02/19/2025
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