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Individual

DR. RANDALL LEE BROWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2730 W AGUA FRIA FWY, SUITE 100, PHOENIX, AZ 85027-7201
(623) 537-5600
(866) 939-2673
Mailing address
3010 W AGUA FRIA FWY, SUITE 100, PHOENIX, AZ 85027-3943
(623) 474-3427
(623) 544-5531

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
294
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
595
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58759735
NM
01
P00303834
RAILROAD MEDICARE
NM
Enumeration date
01/20/2006
Last updated
11/24/2010
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