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Individual

CHRISTOPHER RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5818 N NEVADA AVE STE 110, COLORADO SPRINGS, CO 80918-3505
(719) 365-1950
(719) 364-0022
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 365-1950
(719) 364-0022

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
105753
IA
363A00000X
Physician Assistant
Primary
PA.0009381
CO
363AS0400X
Surgical Physician Assistant
2477
NE
363AS0400X
Surgical Physician Assistant
PT1013
WY

Other

Enumeration date
09/16/2020
Last updated
12/03/2025
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