Individual
MR. RANDY DANIEL MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 20755-5800
(301) 677-8011
Mailing address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FT MEADE, MD 20755-5800
(301) 677-8011
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
380-708-1
NY
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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