# RANDALL S. PRUST MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rincon Pain and Spine, Rincon Pain & Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114924354
- **Authorized official:** RANDALL S. PRUST M.D. (PRESIDENT)
- **Authorized official phone:** (520) 731-4450

## Contact information

- **Practice address:** 4747 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
- **Practice address phone:** (520) 731-5540
- **Practice address fax:** (520) 731-5541
- **Mailing address:** 4747 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
- **Mailing address phone:** (520) 322-2560
- **Mailing address fax:** (520) 731-5541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 09/24/2020