Individual
RANDALL DAVID SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 S PEAKS VIEW DR, POB 50901, PARKS, AZ 86018-0901
(928) 607-9562
Mailing address
3095 S PEAKS VIEW DRIVE, POB 50901, PARKS, AZ 86018
(928) 607-9562
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1446377
AZ
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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