Individual provider · Type 1 NPI

Randall Scott Whiteside, CP

Prosthetist · Phoenix, AZ

NPI number 1871017137 Active

Practice location

1190 E Missouri Ave Ste 190
Phoenix, AZ 85014-2736

Fax (480) 212-5944

Mailing address

5347 E Mockingbird Ln
Paradise Valley, AZ 85253-2521

Other practice locations

  • 5347 E Mockingbird Ln, Paradise Valley, AZ 85253-2521 · (602) 312-6605

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1871017137

Randall Scott Whiteside, CP's National Provider Identifier is 1871017137, issued on Jul 28, 2017. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 17, 2018.