Individual
MR. VINCENZO RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P47669
NY
363AM0700X
Medical Physician Assistant
Primary
PA.0004065
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028228
KAISER COMMERCIAL NUMBER
CO
Enumeration date
11/01/2006
Last updated
05/27/2021
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