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RANDY WHITESIDE PROSTHETICS LLC NPI 1609386853


NPI Information

NPI: 1609386853
Provider Name: RANDY WHITESIDE PROSTHETICS LLC
Classification: Prosthetist - 224P00000X
Entity Type: Organization
Address:
1190 E MISSOURI AVE STE 190
PHOENIX, AZ
ZIP 85014
Phone: (602) 596-1040
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RANDY WHITESIDE PROSTHETICS LLC is a prosthetist in Phoenix, AZ. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. RANDY WHITESIDE PROSTHETICS LLC NPI is 1609386853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1190 E MISSOURI AVE STE 190
PHOENIX, AZ
ZIP 85014-736
Phone: (602) 596-1040
Fax: (480) 212-5944

The provider's authorized official is Randall Whiteside .
The authorized official title is Manager and has the following contact phone number (602) 596-4010.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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