| Dr Randall Lee Martin, MD | |
|
204 Mccollum Drive, Suite 101, Laramie, WY 82070 | |
| (307) 745-6065 | |
| (307) 745-4936 |
| Full Name | Dr Randall Lee Martin |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 204 Mccollum Drive, Laramie, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215955885 | NPI | - | NPPES |
| 176917 | Medicaid | OR | |
| 200948040 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD14891 (Oregon) | Secondary |
| 207L00000X | Anesthesiology | TL1962 (Wyoming) | Secondary |
| 207L00000X | Anesthesiology | 60771584 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall Lee Martin, MD 22187 Se Lafayette Hwy, Dayton, OR 97114-8818 Ph: (503) 868-7770 | Dr Randall Lee Martin, MD 204 Mccollum Drive, Suite 101, Laramie, WY 82070 Ph: (307) 745-6065 |
Dr. Calvin Alpha Bell, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-253-0213 | |
Dr. Charles R Coffey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 | |
Dr. John David Crecca, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 | |
Dr. Lance A Proctor, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 | |
Dr. Andrew Taylor Georgi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 801-648-9866 |