Individual
DR. R RANDALL SUKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2331 S BUSINESS HIGHWAY 65, HOLLISTER, MO 65672-5105
(417) 339-3033
(417) 339-9133
Mailing address
2331 S BUSINESS HIGHWAY 65, HOLLISTER, MO 65672-5105
(417) 339-3033
(417) 339-9133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
109959
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598529105
—
MO
Enumeration date
09/14/2006
Last updated
07/09/2007
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