Individual
JOEL E RAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001376
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050518
CERTIFICATE NUMBER
GA
Enumeration date
11/14/2006
Last updated
11/25/2024
Update your record
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