Individual
DR. RANDALL LEE FUNNAMARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 800-5393
(702) 407-7016
Mailing address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 800-5393
(702) 407-7016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3644
NV
207R00000X
Internal Medicine Physician
SL1722
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992379531
—
NV
Enumeration date
05/18/2021
Last updated
06/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us