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Ida Randall

NPI 1184854606 · on the registry since 2009

Practice

Address
2860 S Circle Dr Ste 220
Colorado Springs, CO 80906
Phone
(719) 634-1240
Fax
(719) 540-0174
Organisation at this address
Zoetic
Medikar Llc
Embody Co-Op
L&W Counseling Llc
Embrace Medical, Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado