Individual
RANDALL S. PRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4747 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 731-5540
(520) 731-5541
Mailing address
4747 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 731-5540
(520) 731-5541
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
15163
AZ
Other
Enumeration date
06/28/2005
Last updated
12/27/2017
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