Provider Demographics
NPI:1568755130
Name:GELOW, RANDY STEVEN II (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:STEVEN
Last Name:GELOW
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:11209 N TATUM BLVD STE 185
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-6016
Mailing Address - Country:US
Mailing Address - Phone:602-669-2585
Mailing Address - Fax:602-669-2586
Practice Address - Street 1:11209 N TATUM BLVD STE B185
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3091
Practice Address - Country:US
Practice Address - Phone:602-669-2585
Practice Address - Fax:602-669-2586
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2024-04-21
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Provider Licenses
StateLicense IDTaxonomies
AZ61-195072083A0300X
AZ49455207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine