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Individual

DR. RANDY LEE GUBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3320 NORTH BUFFALO DRIVE, SUITE 107, LAS VEGAS, NV 89129-7410
(702) 256-8454
(702) 256-0387
Mailing address
3320 NORTH BUFFALO DRIVE, SUITE 107, LAS VEGAS, NV 89129-7410
(702) 256-8454
(702) 256-0387

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9804
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002102006
NV
01
1943324
UNITED HEALTH CARE
NV
01
480029166
RAILROAD MEDICARE
NV
01
7208106
AETNA
NV
01
CC1573
BLUE CROSS/BLUE SHIELD
NV
Enumeration date
07/27/2006
Last updated
12/03/2014
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