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NPI Verification

National Provider Identifier: 1912509456

Randall Nesom, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

800 STANTON L YOUNG BLVD

OKLAHOMA CITY, OK 731045018

Phone: 580-483-5302

NPI Enumeration Date

November 10, 2020

NPI Number

1912509456

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry