Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Active
Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RANDOLPH MD (OWNER/PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
180 S FRONTAGE RD W, VAIL, CO 81657-5038
(907) 476-2451
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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