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Individual

MICHAEL RANDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
20046 N JOHN WAYNE PKWY STE 102, MARICOPA, AZ 85139-2977
(520) 497-4575
Mailing address
20046 N JOHN WAYNE PKWY STE 102, MARICOPA, AZ 85139-2977
(520) 497-4575

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
270365
AZ

Other

Enumeration date
12/12/2024
Last updated
04/23/2025
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