Organization
RANDALL M RAZIANO, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL M RAZIANO MD (OWNER)
(970) 249-2211
Entity
Organization
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 249-2211
(970) 240-7745
Mailing address
3225 MONTE VISTA CIR, MONTROSE, CO 81401-4196
(970) 249-2211
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
44856
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05754046
—
CO
Enumeration date
08/07/2007
Last updated
11/08/2007
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