Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 14988 | AZ |
NPI | 1114172251 |
---|---|
Provider Name | James Alan Rand |
First Address | Paradise Valley, AZ 85253-2621 |
Second Address | Paradise Valley, AZ 85253-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 17/11/2008 |