Individual
RANDY OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, DEPARTMENT OF SURGERY, PHOENIX, AZ 85008-4973
(602) 344-5608
(602) 344-1299
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
27659
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766529
—
AZ
Enumeration date
07/19/2006
Last updated
03/09/2015
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