Individual
RANDY JAMES WITHEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST-CFA
Contact information
Practice address
32 FAIRVIEW AVE, PUNXSUTAWNEY, PA 15767-8255
(914) 938-4043
Mailing address
32 FAIRVIEW AVE, PUNXSUTAWNEY, PA 15767-8255
(914) 938-4043
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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