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Individual

RANDY OWEN KRITZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1130 N CHURCH ST, SUITE 200, GREENSBORO, NC 27401-1038
(336) 272-4578
(336) 272-5931
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 335-8448

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
39005
NC
207T00000X
Neurological Surgery Physician
Primary
39005
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
895033A
NC
Enumeration date
08/23/2005
Last updated
05/09/2014
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