NPI 1871017137

Randall Scott Whiteside, CP

Practitioner Prosthetist Phoenix, AZ

Practice location

Address: 1190 E Missouri Ave STE 190, Phoenix, AZ 85014-2736
Phone: (602) 312-6605
Fax: (480) 212-5944
Mailing address: 5347 E Mockingbird Ln, Paradise Valley, AZ 85253-2521

Registered specialties

Prosthetist Primary

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

Other Prosthetist providers in Arizona →

Registry record

NPI: 1871017137
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2017
Record last updated: 17 Mar 2018

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.