Individual
DR. RANDALL NESOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(580) 483-5302
Mailing address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
43413
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2020
Last updated
06/04/2024
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