Randall J Stockham, - Anesthesiology in Salt Lake City, UT

Randall J Stockham, is a Anesthesiology physician based in Salt Lake City, Utah. Randall J Stockham is licensed to practice in Utah (license number 166962-1205) and his current practice location is 3838 S 700 E, Ste 200, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 261-4988.

NPI number for Randall J Stockham is 1376541268 and his current mailing address is Po Box 27688, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376541268.

Contact Information

Randall J Stockham,
3838 S 700 E, Ste 200,
Salt Lake City, UT 84106-1466
(801) 261-4988
(801) 269-9427

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Physician's Profile

Full NameRandall J Stockham
GenderMale
SpecialityAnesthesiology
Location3838 S 700 E, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376541268
  • Provider Enumeration Date: 07/13/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Randall J Stockham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376541268NPI-NPPES
06846MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 166962-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Randall J Stockham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall J Stockham,
Po Box 27688,
Salt Lake City, UT 84127-0688

Ph: (801) 534-1360
Randall J Stockham,
3838 S 700 E, Ste 200,
Salt Lake City, UT 84106-1466

Ph: (801) 261-4988

Reviews and Comments


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