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Randall S. Prust, M.D.

NPI Number 1033116611

Practice Location

  • 1400 N Wilmot Rd
    Tucson, AZ 85712
  • Phone: (602) 273-6770
  • Fax: (602) 889-0489

Business Location

  • Po Box 3289
    Gilbert, AZ 85299
  • Phone: (480) 656-9225
  • Fax: (602) 889-0489

Other Information

  • Enumeration date: 06/28/2005
  • Last updat date: 01/04/2011
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 207LP2900X
  • License number: 15163
  • License number state code: AZ
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1033116611 is assigned to Randall S. Prust, M.d.. Randall S. Prust, M.d. is practice in Tucson, AZ 85712 with phone number 4806569225. The number of page view of Randall S. Prust, M.d. is 36.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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