NPI 1609386853

Randy Whiteside Prosthetics LLC

Organisation Prosthetist Phoenix, AZ

Practice location

Address: 1190 E Missouri Ave STE 190, Phoenix, AZ 85014-2736
Phone: (602) 596-1040
Fax: (480) 212-5944

Authorised official

Name: Randall Whiteside
Title: Manager
Phone: (602) 596-4010

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1609386853
Entity type: Organization
NPI issued: 2 Oct 2017
Record last updated: 2 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.