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1487641130

NPI Code Detail

MEDICARE: RANDALL B RICE MD

MEDICARE: RANDALL B RICE MD

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
1	208D00000X	General Practice Physician	8168A	WY
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	33815	CO
3	207L00000X	Anesthesiology Physician	8168A	WY

Other Identifiers

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

General Provider Information

NPI Number	:	1487641130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDALL B RICE MD

Provider Business Mailing Address
First Line	:	PO BOX 3108
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82902-3108
Country	:	US
Telephone Number	:	970-749-3238
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 COLLEGE DR
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-3507
Country	:	US
Telephone Number	:	307-352-8900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	03/26/2026

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Directions to “ RANDALL B RICE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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