Dr David B Randall, DPM | |
3355 N University Ave Ste 175, Provo, UT 84604-6620 | |
(801) 253-6886 | |
Not Available |
Full Name | Dr David B Randall |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 25 Years |
Location | 3355 N University Ave Ste 175, Provo, Utah |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710976535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 246 (Oklahoma) | Secondary |
213E00000X | Podiatrist | 7269 (Alaska) | Secondary |
213E00000X | Podiatrist | 13928903-0501 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Alaska Medical Center | Anchorage, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Matt A. Heilala, Dpm Inc. | 3779496294 | 12 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Provider Name | Matt A. Heilala, Dpm Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316046790 PECOS PAC ID: 3779496294 Enrollment ID: O20031111000251 |
Mailing Address | Practice Location Address |
---|---|
Dr David B Randall, DPM 9980 S 300 W Ste 300, Sandy, UT 84070-3654 Ph: () - | Dr David B Randall, DPM 3355 N University Ave Ste 175, Provo, UT 84604-6620 Ph: (801) 253-6886 |
Seth Jonah Brazier, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1973 N State St, Provo, UT 84604 Phone: 801-373-2499 Fax: 801-373-5200 | |
Ellsworth Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3355 N University Ave Ste 175, Provo, UT 84604 Phone: 801-377-5649 | |
David Jaramillo, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3355 N University Ave Ste 175, Provo, UT 84604 Phone: 801-377-5649 | |
Hammond Foot And Ankle Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 365 W. 2230 N., Suite 103, Provo, UT 84604 Phone: 801-377-2274 | |
Todd Joseph Jaramillo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1355 N University Ave Ste 125, Provo, UT 84604 Phone: 801-374-3010 Fax: 801-377-2426 | |
Dr. Scott Brett Humpherys, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1928 N 1120 W, Provo, UT 84604 Phone: 801-225-3095 Fax: 801-374-6254 | |
Dr. James Thomas Ross, DPM, PT Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1015 Canyon Meadow Dr, # 5, Provo, UT 84606 Phone: 801-356-1733 |