DAVID R RANDALL

ANCHORAGE, AK
NPI1710976535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: AK  7269)
Additional Taxonomies213E00000X Podiatrist
(Licence: OK  246)
Enumeration Date2005-10-14
Last Update Date2012-10-19
Business Address
Dr. DAVID R RANDALL DPM
4100 LAKE OTIS PKY STE 312
ANCHORAGE, AK 99508-5231
Phone number: 918-458-3100
Mailing Address
Dr. DAVID R RANDALL DPM
4100 LAKE OTIS PKWY STE 312
ANCHORAGE, AK 99508-5231
Phone number: 907-569-3668