Dr RANDELL P SMITH is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
BANDON COMMUNITY HEALTH CENTER
1010 1ST ST SE
SUITE 110
BANDON
OR
974119301
Tel: 5413472529
| Npi | 1144640293 |
| Pac Id | 5395968127 |
| Professional Enrollment Id | I20160720001412 |
| Last Name | SMITH |
| First Name | RANDELL |
| Middle Name | P |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BANDON COMMUNITY HEALTH CENTER |
| Group Practice Pac Id | 1557416757 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 1010 1ST ST SE |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | BANDON |
| State | OR |
| Zip Code | 974119301 |
| Phone Number | 5413472529 |
| Hospital Affiliation Ccn 1 | 381304 |
| Hospital Affiliation Lbn 1 | SOUTHERN COOS HOSPITAL & HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 380090 |
| Hospital Affiliation Lbn 2 | BAY AREA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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