Randall Gordon Stern in Fresno - Vascular Surgery
Randall Gordon Stern - NPI 1962512319
Randall Gordon Stern is a Vascular Surgery in Fresno, California. Randall Gordon Stern practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Randall Gordon Stern is 1962512319. The last update date is 2019-11-07.
Randall Gordon Stern's current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594432682 and fax number 5594432681. The mailing address for Randall Gordon Stern is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Gordon Stern |
|---|---|
| Address | 2625 E Divisadero St, Fresno, California |
| Phone Number | 5594432682 |
| Fax Number | 5594432681 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962512319 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2019-11-07 |
Provider Mailing Address Detail
| Address | 2625 E Divisadero St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211431 |
| Phone Number | 5594432682 |
| Fax Number | 5594432681 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G33214 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00170705 | CA | RAILROAD MEDICARE | |
| 00G332140 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Randall Gordon Stern by the Centers for Medicare & Medicaid Services?
The Randall Gordon Stern has been issued the NPI (National Provider Identifier) 1962512319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Randall Gordon Stern?
The Randall Gordon Stern is situated at 2625 E Divisadero St, in the city of Fresno, state of CA, with the zip code 937211431.
What is Randall Gordon Stern's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Gordon Stern's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
When was the Randall Gordon Stern's 1962512319 issued?
The Randall Gordon Stern's 1962512319 was issued on 2006-08-30.
As of what date were the Randall Gordon Stern's details last updated?
The information pertaining to the Randall Gordon Stern, including its address, specialty, and other details, was most recently updated on 2019-11-07.
NPI Number: 1841297926
Address: Po Box 220627, West Palm Beach, FL