Individual
DONALD PHILLIP RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10877 N 109TH WAY, SCOTTSDALE, AZ 85259-3933
(480) 860-5798
Mailing address
10877 N 109TH WAY, SCOTTSDALE, AZ 85259-3933
(480) 860-5798
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37254
AZ
Other
Enumeration date
06/28/2005
Last updated
06/28/2013
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