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Individual

RANDALL SCOTT MCDAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
6260 E COLFAX AVE, DENVER, CO 80220
(303) 962-5317
(720) 372-7849
Mailing address
6260 E COLFAX AVE, DENVER, CO 80220-1515
(303) 962-5317
(720) 372-7849

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0101394
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
900158746
CO
Enumeration date
09/15/2010
Last updated
08/08/2018
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