DR. Randall Lee Funnamark JR., DO

NPI #1992379531 in Henderson, Nevada

Provider Information

NPI Number: 1992379531
Entity Type: Individual
Name: DR. Randall Lee Funnamark JR., DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: May 18, 2021
Last Updated: Jun 24, 2024

Practice Location

Address: 10624 S EASTERN AVE # A-955
City: Henderson
State: Nevada
ZIP Code: 89052-2982
Phone: (702) 800-5393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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