OrganizationActive
Randy Whiteside Prosthetics LLC
NPI 1609386853 · Prosthetist · Phoenix, AZ
Provider details
- NPI number
- 1609386853
- Entity type
- Organization
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Randall Whiteside, Manager(602) 596-4010
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1190 E Missouri Ave Ste 190
Phoenix, AZ 85014-2736
Phone: (602) 596-1040
Fax: (480) 212-5944
Approximate (ZIP-level) locationGet directions
Mailing address
1190 E Missouri Ave Ste 190
Phoenix, AZ 85014-2736
Registry dates
- Enumerated
- 2017-10-02
- Last updated
- 2017-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.