Randall Funnamark, DO
NPI 1992379531 · Internal Medicine Physician · Henderson, NV
Randall Funnamark, DO is a Internal Medicine Physician provider in Henderson, NV (NPI 1992379531).
Provider details
- NPI number
- 1992379531
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- SL1722 (NV)
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.