Individual
RANDALL L MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4537 JERICHO RD, POINT PLEASANT, WV 25550-4251
(304) 347-1094
Mailing address
4537 JERICHO RD, POINT PLEASANT, WV 25550-4251
(304) 347-1094
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
29304
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
RETIRED
WV
Enumeration date
06/14/2006
Last updated
09/21/2016
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