Individual provider · Type 1 NPI

Vincenzo Randazzo, PA

Medical Physician Assistant · Lone Tree, CO

NPI number 1417034737 Active

Practice location

10240 Park Meadows Dr
Lone Tree, CO 80124-5425

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice locations

  • 175 S Union Blvd, Ste 300, Colorado Springs, CO 80910-3113 · (719) 365-1950
  • 175 S Union Blvd, Ste 300, Colorado Springs, CO 80910 · (719) 365-1950

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XP47669 (NY)
Medical Physician Assistant Primary 363AM0700XPA.0004065 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1417034737

Vincenzo Randazzo, PA's National Provider Identifier is 1417034737, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lone Tree, CO. The record was last updated on May 27, 2021.