Brower, Randall Lee

Brower, Randall Lee is an individual health care provider with primary practice located at 2730 W Agua Fria Fwy Suite 100, Phoenix AZ 85027-7201. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Brower, Randall Lee can be contacted via phone (623) 537-5600.

Contact Information

Primary practice address
2730 W Agua Fria Fwy Suite 100 Phoenix AZ 85027-7201
Phone: (623) 537-5600
Fax: (866) 939-2673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 294 New Mexico
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 595 Arizona

Profile Details

NPI number 1689654030
LBN Legal business name Brower, Randall Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689654030 NPPES
New Mexico MEDICAID 58759735
New Mexico Other P00303834

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