NPI 1215955885

Randall Lee Martin, MD

Practitioner Anesthesiology Physician Laramie, WY

Practice location

Address: 204 McCollum Drive Suite 101, Laramie, WY 82070
Phone: (307) 745-6065
Fax: (307) 745-4936
Mailing address: 22187 SE Lafayette Hwy, Dayton, OR 97114-8818

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 60771584 (WA)

Other Anesthesiology providers in Wyoming →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD14891 (OR)

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence TL1962 (WY)

Registry record

NPI: 1215955885
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2006
Record last updated: 15 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.