Individual
MR. CLAY RANDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28 E WILLAMETTE AVE, COLORADO SPRINGS, CO 80903-1132
(719) 344-9650
Mailing address
28 E WILLAMETTE AVE, COLORADO SPRINGS, CO 80903-1132
(719) 344-9650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-15518
NC
363A00000X
Physician Assistant
10257
AZ
363A00000X
Physician Assistant
135373
IA
363A00000X
Physician Assistant
Primary
PA.0005303
CO
363A00000X
Physician Assistant
PA16748
TX
Other
Enumeration date
01/25/2011
Last updated
10/21/2025
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