Amber Louise Randall
Adult Reconstructive Orthopaedic Surgeon
77 W Forest Ave Suite 301
Flagstaff
, Arizona 86001-1479
Amber Louise Randall
Adult Reconstructive Orthopaedic Surgeon
77 W Forest Ave Suite 301
Flagstaff
, Arizona 86001-1479
(928) 214-2824
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Amber Louise Randall
- 77 W Forest Ave Suite 301
- Flagstaff, AZ
- Zip : 86001-1479
- Fax : (928) 214-2824
- Phone : (928) 773-2534
Second Address
- Amber Louise Randall
- 77 W Forest Ave Suite 301
- Flagstaff, AZ
- Zip : 86001-1479
- Fax : (928) 214-2824
- Phone : (928) 773-2534
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 34269 | AZ |
National Provider Identifier
| NPI | 1063496255 |
|---|---|
| Provider Name | Amber Louise Randall |
| First Address | Flagstaff, AZ 86001-1479 |
| Second Address | Flagstaff, AZ 86001-1479 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2005 |
| Last Update Date | 08/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 946725 | (05) | AZ |
| I11127 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.