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RANDALL S. PRUST MD PC NPI 1114924354


NPI Information

NPI: 1114924354
Provider Name: RANDALL S. PRUST MD PC

Doing Business As: RINCON PAIN & SPINE

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 03D2006438

Address:
4747 E CAMP LOWELL DR
TUCSON, AZ
ZIP 85712
Phone: (520) 731-5540
Get Directions

RANDALL S. PRUST MD PC is a pain medicine anesthesiology in Tucson, AZ. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. RANDALL S. PRUST MD PC NPI is 1114924354. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rincon Pain & Spine.

The provider's business location address is:

4747 E CAMP LOWELL DR
TUCSON, AZ
ZIP 85712-256
Phone: (520) 731-5540
Fax: (520) 731-5541

The provider's authorized official is Randall S. Prust .
The authorized official title is President and has the following contact phone number (520) 731-4450.

The CLIA number assigned to this NPI record is 03D2006438 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 9/24/2020.


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
1207LP2900XAnesthesiologyPain MedicineYes

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: 11/14/2023

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