Individual provider · Type 1 NPI

Gregory E. Randolph, PA-C

Physician Assistant · Gladbrook, IA

NPI number 1912949124 Active

Practice location

309 2nd St
Gladbrook, IA 50635

Fax (641) 473-2641

Mailing address

2101 Kimball Ave, LL14
Waterloo, IA 50702-5063

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X000693 (IA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912949124

Gregory E. Randolph, PA-C's National Provider Identifier is 1912949124, issued on Jun 12, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gladbrook, IA. The record was last updated on Jul 16, 2007.