| Elizabeth A Randolph, PA-C | |
|
5031 N Illinois St, Fairview Heights, IL 62208-3453 | |
| (618) 212-6800 | |
| Not Available |
| Full Name | Elizabeth A Randolph |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 5031 N Illinois St, Fairview Heights, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689000713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085.004815 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A Randolph, PA-C 5031 N Illinois St, Fairview Heights, IL 62208-3453 Ph: (618) 212-6800 | Elizabeth A Randolph, PA-C 5031 N Illinois St, Fairview Heights, IL 62208-3453 Ph: (618) 212-6800 |
Mr. Matthew Michael Germann, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5031 N Illinois St, Fairview Heights, IL 62208 Phone: 618-212-6800 | |
Sidney K Harnetiaux Thurston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 390 Office Ct, Fairview Heights, IL 62208 Phone: 618-233-7666 | |
Nikita Nangia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5023 N Illinois St, Fairview Heights, IL 62208 Phone: 618-239-0678 |