Randall Scott Whiteside, CP
Randall Scott Whiteside, CP is a Prosthetist in Phoenix, Arizona. Works from 2 locations. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1190 E Missouri Ave Ste 190Phoenix, AZ 85014-2736
Phone: (602) 312-6605
Fax: (480) 212-5944
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5347 E Mockingbird Ln, Paradise Valley, AZ 85253-2521 — (602) 312-6605
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X |
|---|
Record details
| NPI number | 1871017137 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP |
| Sole proprietor | No |
| NPI enumerated | July 28, 2017 |
| Last updated in NPPES | March 17, 2018 |
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Kaitlin Quan, CPO
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Randy Whiteside Prosthetics LLC
1190 E Missouri Ave Ste 190, Phoenix, AZ 85014-2736 · (602) 596-1040