Stevens, Randall Leroy

Stevens, Randall Leroy is an individual health care provider with primary practice located at 307 Boatner Rd , Eglin Afb FL 32542-1391. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stevens, Randall Leroy can be contacted via phone (850) 883-8448.

Contact Information

Primary practice address
307 Boatner Rd Eglin Afb FL 32542-1391
Phone: (850) 883-8448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1629044540
LBN Legal business name Stevens, Randall Leroy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 10th, 2007 - about 17 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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