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1033116611
RANDALL S. PRUST
TUCSON, AZ
NPI
1033116611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: AZ 15163)
Enumeration Date
2005-06-28
Last Update Date
2017-12-27
Business Address
RANDALL S. PRUST M.D.
4747 E CAMP LOWELL DR
TUCSON, AZ 85712-1256
Phone number: 520-731-5540
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Mailing Address
RANDALL S. PRUST M.D.
4747 E CAMP LOWELL DR
TUCSON, AZ 85712-1256
Phone number: 520-731-5540
Copy
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