MR. Randall Verzwyvelt, CRNA

NPI #1861763278 in Longview, Texas

Provider Information

NPI Number
1861763278
Entity Type
Individual
Name
MR. Randall Verzwyvelt, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jan 17, 2012
Last Updated
Jan 17, 2012

Practice Location

Address
2901 N 4TH ST
State
Texas
ZIP Code
75605-5128
Phone
(903) 758-1818

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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