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Individual

AMBER LOUISE RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1840 N JASPER DR STE 2, FLAGSTAFF, AZ 86001-1634
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34269
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
34269
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
946725
AZ
Enumeration date
12/01/2005
Last updated
02/27/2026
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