Stern, Randall Gordon

Stern, Randall Gordon is an individual health care provider with primary practice located at 1247 E Alluvial Ave Ste 101 , Fresno CA 93720-2686. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Stern, Randall Gordon can be contacted via phone (559) 431-6226.

Contact Information

Primary practice address
1247 E Alluvial Ave Ste 101 Fresno CA 93720-2686
Phone: (559) 431-6226
Fax: (559) 440-9005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G33214 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G33214 California

Profile Details

NPI number 1962512319
LBN Legal business name Stern, Randall Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962512319 NPPES
California Other P00170705 RAILROAD MEDICARE
California MEDICAID 00G332140 RAILROAD MEDICARE

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