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NPI Code Detail

MEDICARE: MR. RANDALL S CALHOUN

MEDICARE: MR. RANDALL S CALHOUN
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
1367500000XCertified Registered Nurse Anesthetist059697IA

General Provider Information

NPI Number : 1215104344
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RANDALL S CALHOUN
Provider Business Mailing Address
First Line : 214 E COLLEGE ST
Second Line :
City : ALGONA
State : IA
Zip : 50511-3305
Country : US
Telephone Number : 515-295-2887
Fax Number :
Provider Business Practice Location Address
First Line : 800 OHIO ST
Second Line :
City : WEBSTER CITY
State : IA
Zip : 50595-2824
Country : US
Telephone Number : 515-832-9400
Fax Number : 515-832-9420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 05/08/2008

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Directions to “ MR. RANDALL S CALHOUN ” Practice Location

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