Randy Agolia in O Fallon - Pediatrics

Randy Agolia - NPI 1972575439

Randy Agolia is a Pediatrics in O Fallon, Missouri. Randy Agolia practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Randy Agolia is 1972575439. The last update date is 2021-11-29.

Randy Agolia's current location address is 20 Progress Point Pkwy, O Fallon, Missouri. You can contact this provider via phone number 6363443333 and fax number 6363443334. The mailing address for Randy Agolia is 20 Progress Point Pkwy, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Agolia
Address 20 Progress Point Pkwy, O Fallon, Missouri
Phone Number 6363443333
Fax Number 6363443334
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972575439
Provider Enumeration Date 2006-02-07
Last Updated Date 2021-11-29

Provider Mailing Address Detail

Address 20 Progress Point Pkwy
City O Fallon
State Missouri (MO)
Post Code 633682206
Phone Number 6363443333
Fax Number 6363443334

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 108370
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200026270 MO --

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FAQs about Randy Agolia

What is the unique 10-digit identifier code issued to Randy Agolia by the Centers for Medicare & Medicaid Services?

The Randy Agolia has been assigned the NPI (National Provider Identifier) 1972575439 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Randy Agolia is physically located?

The Randy Agolia is situated at the following address: 20 Progress Point Pkwy, O Fallon, MO 633682206.

What is the Randy Agolia's area of specialization and corresponding taxonomy classification?

The Randy Agolia's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did Randy Agolia receive its 1972575439 assignment from the Centers for Medicare & Medicaid Services?

The Randy Agolia was assigned its 1972575439 on 2006-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Randy Agolia, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randy Agolia, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-29.

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