Individual
DR. RANDOLPH O MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19681 ROYAL TROON DR, MONUMENT, CO 80132-2874
(719) 659-1170
(719) 559-0464
Mailing address
19681 ROYAL TROON DR, MONUMENT, CO 80132-2874
(719) 659-1170
(719) 559-0464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31283
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01312834
—
CO
01
—
930027387
RR MEDICARE
CO
Enumeration date
05/06/2006
Last updated
04/30/2018
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