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NPI Code Detail

MEDICARE: RANDALL K. BESS M.D.

MEDICARE: RANDALL K. BESS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician18750NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073975702
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL K. BESS M.D.
Provider Business Mailing Address
First Line : 901 RANCHO LN
Second Line : SUITE 135
City : LAS VEGAS
State : NV
Zip : 89106-3836
Country : US
Telephone Number : 702-383-7885
Fax Number : 702-383-8235
Provider Business Practice Location Address
First Line : 3001 SAINT ROSE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3839
Country : US
Telephone Number : 702-616-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 07/01/2019

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Directions to “ RANDALL K. BESS M.D.” Practice Location

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