Individual
RANDALL LEE GOLDFISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 22ND AVE, SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
(308) 865-2541
Mailing address
816 22ND AVE, SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FG1386716
NE
Other
Enumeration date
07/15/2009
Last updated
07/29/2019
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