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 Harnetiaux, 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 |