R RANDALL GRACE

PHOENIX, AZ
NPI1598740995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: AZ  10020)
Enumeration Date2005-12-08
Last Update Date2007-07-08
Business Address
-- R RANDALL GRACE md
10930 N TATUM BLVD STE 103
PHOENIX, AZ 85028-6069
Phone number: 602-263-7600
Mailing Address
-- R RANDALL GRACE md
10930 N TATUM BLVD STE 103
PHOENIX, AZ 85028-6069
Phone number: 602-263-7600