Mr. Randy L Panke, NCCPA
Mr. Randy L Panke, NCCPA is a Physician Assistant in Groton, Connecticut. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
159 Trout Ave Navsubase NlonGroton, CT 06349-5159
Phone: (860) 694-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1285699488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NCCPA |
| Sole proprietor | No |
| NPI enumerated | April 19, 2006 |
| Last updated in NPPES | July 24, 2024 |
| Certification date | July 24, 2024 |
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