Individual
RANDY GUERDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5516
Mailing address
PO BOX 5410, SIOUX CITY, IA 51102-5410
(712) 252-2477
(712) 252-5516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001427
IA
363A00000X
Physician Assistant
1121
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092080
—
IA
Enumeration date
09/02/2005
Last updated
06/14/2021
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