Provider Demographics
NPI:1912115288
Name:ANDERSON, RANDY L (MD)
Entity Type:Individual
Prefix:
First Name:RANDY
Middle Name:L
Last Name:ANDERSON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1215 DUFF AVE, PO BOX 3014
Mailing Address - Street 2:MCFARLAND CLINIC, PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4456
Mailing Address - Fax:515-239-4761
Practice Address - Street 1:1215 DUFF AVE
Practice Address - Street 2:MCFARLAND CLINIC, PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4456
Practice Address - Fax:515-239-4761
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2020-12-23
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Provider Licenses
StateLicense IDTaxonomies
IA362472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology