Randall, Amber Louise
Randall, Amber Louise is an individual health care provider with primary practice located at 1100 N San Francisco St Ste E , Flagstaff AZ 86001-3260. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Randall, Amber Louise can be contacted via phone (928) 777-9950.Contact Information
Primary practice address
1100 N San Francisco St Ste E
Flagstaff AZ 86001-3260
Phone: (928) 777-9950
Fax: (928) 777-9975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 34269 | Arizona |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 34269 | Arizona |
Profile Details
| NPI number | 1063496255 |
|---|---|
| LBN Legal business name | Randall, Amber Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jul 14th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063496255 | NPPES |
| Arizona | MEDICAID | 946725 |
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