RANDY WHITESIDE PROSTHETICS LLC

PHOENIX, AZ
NPI1609386853
Entity TypeOrganization
Authorized ContactRANDALL WHITESIDE
Manager
602-596-4010
Organization Subpart ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2017-10-02
Last Update Date2017-10-02
Business Address
RANDY WHITESIDE PROSTHETICS LLC
1190 E MISSOURI AVE STE 190
PHOENIX, AZ 85014-2736
Phone number: 602-596-1040
Mailing Address
RANDY WHITESIDE PROSTHETICS LLC
1190 E MISSOURI AVE STE 190
PHOENIX, AZ 85014-2736
Phone number: 602-596-1040
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