Individual
RANDALL JAMES NETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 ALDEN DR, 90 MDG, FE WARREN AFB, WY 82005-3906
(307) 773-3461
(307) 773-3809
Mailing address
6900 ALDEN DR, 90 MDG FLIGHT MEDICINE CLINIC SGO AF, FE WARREN AFB, WY 82005-3906
(307) 773-3461
(307) 773-3809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056810A
IN
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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