Individual provider · Type 1 NPI

Michael Phillip Randazza, MS

Student in an Organized Health Care Education/Training Program · Fayetteville, AR

NPI number 1700777034 Active

Practice location

111 Memorial Hall, University Of Arkansas
Fayetteville, AR 72704

Call (479) 575-4258 Map

Mailing address

4782 W Alberta St
Fayetteville, AR 72704-7119

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 1700777034

Michael Phillip Randazza, MS's National Provider Identifier is 1700777034, issued on Jul 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 14, 2025.