Individual
RANDI STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 S PLUM ST, VERMILLION, SD 57069-3346
(605) 677-3700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16714
TX
Other
Enumeration date
04/10/2023
Last updated
12/27/2024
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