Individual
RANDY R POMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6259
Mailing address
2520 ELISHA AVE, ZION, IL 60099-2676
(847) 872-6259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010072
IL
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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