Individual
AMY MARGARET RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5818 N NEVADA AVE STE 110, COLORADO SPRINGS, CO 80918-3505
(719) 365-1950
(719) 364-0022
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 365-1950
(719) 364-0022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
107020
IA
363A00000X
Physician Assistant
2341
NE
363A00000X
Physician Assistant
Primary
PA.0009392
CO
363AS0400X
Surgical Physician Assistant
PT10112
WY
Other
Enumeration date
03/13/2019
Last updated
10/31/2025
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