Individual
DR. EDWARD WADE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1736 WEST BELL ROAD, PHOENIX, AZ 85023-3414
(602) 863-2277
(602) 866-7475
Mailing address
1736 WEST BELL ROAD, PHOENIX, AZ 85023-3414
(602) 863-2277
(602) 866-7475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4147
AZ
Other
Enumeration date
06/08/2006
Last updated
05/02/2012
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