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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689654030 | NPPES |
New Mexico | MEDICAID | 58759735 | |
New Mexico | Other | P00303834 |
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