Randall Clifford Nedegaard PH.D

NPI 1013908946 - Psychologist - 103TC0700X

NPI Details
NPI 1013908946
Gender Male
Enumeration Date 10/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1599 J ST
GRAND FORKS AFB ND, 58205-6306, US
Phone (701) 747-7155
Fax (701) 747-7340
Business Location
GRAND FORKS AFB ND, 58204-1231, US
Phone (701) 594-9508
Fax (701) 747-7340
Taxonomy Code 103TC0700X
License State Kansas
License Number 1126
Remove 1013908946 NPI Number

According to our database, Dr. Randall Clifford Nedegaard PH.D NPI is 1013908946, taxonomy code is 103TC0700X and license number is 1126, license state is located at Kansas. Randall Clifford Nedegaard PH.D physically located at 1599 J St, Grand Forks Afb ND, 58205-6306. NPI Number Randall Clifford Nedegaard PH.D has the Individual type.

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1013908946 NPI number is provided on an as is basis without warranty of any kind. 1013908946 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Clifford Nedegaard PH.D are for informational purposes only.