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Dr. Randall Perry Scott

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NPI Number Detailed Information

Provider Information:

Name: Dr. Randall Perry Scott
Gender: M
Provider License Number If Given: 27944

NPI Information:

NPI: 1235138744
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 9/3/2015

Provider Business Mailing Address:

Address: 930 N. SWITZER CANYON DR. SUITE 202
Flagstaff, AZ 86001
Phone Number: 9287795707
Fax Number: 9287797897

Provider Business Practice Location Address:

Address: 930 N. SWITZER CANYON DR. SUITE 202
Flagstaff, AZ 86001
Phone Number: 9287795707
Fax Number: 9287795737

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: AZ

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