Individual
DR. NATHAN RICHARD RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1 MAIN HOSPITAL ROAD, BOX 160, BELCOURT, ND 58316-0160
(701) 477-6111
(701) 477-8410
Mailing address
PO BOX 160, BELCOURT, ND 58316-0160
(701) 477-6111
(701) 477-8410
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4095
CA
Other
Enumeration date
02/10/2007
Last updated
09/09/2009
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