BECKY RANDALL
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1427543735- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1406 6TH AVE N, ST. CLOUD, MN, 563031901
- Phone
- (763) 742-7684
Specialties & Taxonomies
Physician Assistant
Primary License: MN #12679