Individual
RANDALL F SCLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
28000 MEADOW DR #210, EVERGREEN, CO 80439
(303) 679-8500
(303) 679-8505
Mailing address
28000 MEADOW DR #210, ARAPAHOE PEAK HEALTH CENTER, EVERGREEN, CO 80439
(303) 679-8500
(303) 679-8505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C525318
PTAN
CO
01
—
C544638
EMPLOYER PTAN
CO
Enumeration date
11/22/2006
Last updated
01/15/2015
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