Individual provider · Type 1 NPI

Justin Randazzo

Student in an Organized Health Care Education/Training Program · Glendale, AZ

NPI number 1508774969 Active

Practice location

5149 W Columbine Dr
Glendale, AZ 85304-1915

Call (602) 696-0287 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508774969

Justin Randazzo's National Provider Identifier is 1508774969, issued on Aug 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, AZ. The record was last updated on Aug 28, 2026.