Elizabeth A Randolph, P.A.-C
NPI #1689000713 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1689000713
- Entity Type
- Individual
- Name
- Elizabeth A Randolph, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.-C
- Enumeration Date
- Sep 20, 2013
- Last Updated
- Sep 20, 2013
Practice Location
- Address
- 5031 N ILLINOIS ST
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-3453
- Phone
- (618) 212-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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