Individual
RANDOLPH S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
6685 GUNPARK DR STE 102, BOULDER, CO 80301-3343
(303) 415-5199
(303) 415-5198
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-4770
(303) 415-4769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994808-NP
CO
Other
Enumeration date
07/17/2019
Last updated
09/03/2019
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