Individual
STEPHEN RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1485 N TURQUOISE DR, SUITE 200, FLAGSTAFF, AZ 86001-1398
(928) 774-7757
(928) 226-3071
Mailing address
1485 N TURQUOISE DRIVE, FLAGSTAFF, AZ 86001
(928) 774-7757
(928) 226-3071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911322
—
AZ
Enumeration date
06/26/2006
Last updated
09/27/2017
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