IndividualActive
David Randall, DPM
NPI 1710976535 · Podiatrist · Provo, UT
Provider details
- NPI number
- 1710976535
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 246 (OK)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
3355 N University Ave Ste 175
Provo, UT 84604-6620
Phone: (801) 253-6886
Approximate (ZIP-level) locationGet directions
Mailing address
9980 S 300 W Ste 300
Sandy, UT 84070-3654
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.