Individual
RANDALL LOREN SEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12050 FALCON HWY, PEYTON, CO 80831-8076
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3180
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096781
NCCPA CERTIFICATION
—
01
—
3180
COLORADO PHYSICIAN ASSISTANT STATE LICENSE
CO
05
—
57838275
—
CO
01
—
COA108483
MEDICARE NUMBER
CO
Enumeration date
03/14/2011
Last updated
04/05/2017
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