Organization
RANDALL S. PRUST MD PC
Active
Other names
Rincon Pain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL S. PRUST MD (PRESIDENT)
(520) 731-5540
Entity
Organization
Contact information
Practice address
6060 N FOUNTAIN PLAZA DR STE 170, TUCSON, AZ 85704-7875
(520) 731-5540
Mailing address
4747 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 731-5540
(520) 731-5541
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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