Organization
SOUTHWEST INSTITUTE OF ADVANCING HIP AND KNEE TECHNOLOGIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER RANDALL (MD OWNER)
(928) 600-0479
Entity
Organization
Contact information
Practice address
95 SOLDIERS PASS RD STE B1, SEDONA, AZ 86336-4712
(928) 600-0479
Mailing address
10910 BROWN BEAR RD, FLAGSTAFF, AZ 86004-1577
(928) 600-0479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
Other
Enumeration date
06/14/2022
Last updated
09/07/2025
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