Individual
MICHAEL J RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9808 W CEDAR AVE, LAKEWOOD, CO 80226-1023
(303) 233-3363
(303) 233-4622
Mailing address
11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
(303) 233-3363
(303) 233-4622
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34530
CO
Other
Enumeration date
04/02/2007
Last updated
12/19/2008
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