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Search › Colorado › 363LF0000X

Tyler Randall

NPI 1780241794 · on the registry since 2019 · sole proprietor

Practice

Address
1338 Phay Ave
Canon City, CO 81212
Phone
(719) 285-2000
Organisation at this address
Hm Kilzer Md
Ncaldwell Inc
Centura Health
Rebecca Moore Md
Usacs Of Colorado Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
363LF0000X
Licence states on file
WA, CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-19

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