Individual
DR. RANDALL LEE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 DUNCAN SPRINGS RD, HOPLAND, CA 95449-9762
(707) 744-8500
Mailing address
PO BOX 869, 800 DUNCAN SPRINGS RD, HOPLAND, CA 95449-0869
(707) 744-8500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G40956
CA
Other
Enumeration date
10/19/2006
Last updated
01/10/2011
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