Individual
MR. JAMES RANDAL SELLARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 433-5078
Mailing address
1900 N 14TH ST, PONCA CITY, OK 74601-2035
(580) 765-3321
(580) 765-0431
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN190555
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899271496A
—
GA
Enumeration date
07/17/2006
Last updated
08/26/2022
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