Individual
DR. DAVID B RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3355 N UNIVERSITY AVE STE 175, PROVO, UT 84604-6620
(801) 253-6886
Mailing address
9980 S 300 W STE 300, SANDY, UT 84070-3654
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
13928903-0501
UT
213E00000X
Podiatrist
246
OK
213E00000X
Podiatrist
7269
AK
Other
Enumeration date
10/14/2005
Last updated
10/08/2024
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