Randall, David B
Randall, David B is an individual health care provider with primary practice located at 3355 N University Ave Ste 175 , Provo UT 84604-6620. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Randall, David B can be contacted via phone (801) 253-6886.Contact Information
Primary practice address
3355 N University Ave Ste 175
Provo UT 84604-6620
Phone: (801) 253-6886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 246 | Oklahoma |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 7269 | Alaska |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 13928903-0501 | Utah |
Profile Details
| NPI number | 1710976535 |
|---|---|
| LBN Legal business name | Randall, David B |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Oct 8th, 2024 - about 2 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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