Individual
DR. RANDALL LEE PIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10503 W THUNDERBIRD BLVD STE 262, SUN CITY, AZ 85351-3048
(623) 933-8289
(623) 933-2596
Mailing address
10503 W THUNDERBIRD BLVD STE 262, SUN CITY, AZ 85351-3048
(623) 933-8289
(623) 933-2596
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H08789
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110203682
RAILROAD MEDICARE
AZ
01
—
AZ0870900
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/24/2005
Last updated
11/24/2009
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