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Individual

RANDALL V GOERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333
Mailing address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21136
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
059923
MEDICARE
05
100157950C
KS
05
30004497200006
KS
Enumeration date
07/03/2006
Last updated
04/28/2023
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