Craft, Randall O

Craft, Randall O is an individual health care provider with primary practice located at 4630 E Indian School Rd , Phoenix AZ 85018-5416. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Craft, Randall O can be contacted via phone (602) 584-8883.

Contact Information

Primary practice address
4630 E Indian School Rd Phoenix AZ 85018-5416
Phone: (602) 584-8883
Fax: (602) 899-4161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 33325 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 33325 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 33325 Arizona

Profile Details

NPI number 1326079617
LBN Legal business name Craft, Randall O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 26th, 2026 - about last month

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 1326079617 NPPES
Arizona MEDICAID 896607

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