Dr RANDY E BENISH is a male medical professional, specializing in Physician Assistant. He graduated in 1986 from University Of Utah School Of Medicine.
MANGUM CITY HOSPITAL AUTHORITY
118 S LOUIS TITTLE AVE
MANGUM CLINIC
MANGUM
OK
735544441
Tel: 5807823353
| Npi | 1215905617 |
| Pac Id | 9537321278 |
| Professional Enrollment Id | I20120425000802 |
| Last Name | BENISH |
| First Name | RANDY |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MANGUM CITY HOSPITAL AUTHORITY |
| Group Practice Pac Id | 6305119942 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 118 S LOUIS TITTLE AVE |
| Line 2 Street Address | MANGUM CLINIC |
| Marker Of Address Line 2 Suppression | |
| City | MANGUM |
| State | OK |
| Zip Code | 735544441 |
| Phone Number | 5807823353 |
| Hospital Affiliation Ccn 1 | 371330 |
| Hospital Affiliation Lbn 1 | MANGUM REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 370022 |
| Hospital Affiliation Lbn 2 | JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY |
| Hospital Affiliation Ccn 3 | 370019 |
| Hospital Affiliation Lbn 3 | GREAT PLAINS REGIONAL MEDICAL CENTER |
| 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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