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DR. RANDALL ALLRED D.O.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1629427703
Individual Registrant:DR. RANDALL ALLRED D.O.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
5451 WALNUT AVE CHINO, CA 91710-2609 US
Tel: 909-464-8600 Fax: --
Tel: 909-464-8600 Fax: --
Contact information for business:
4639 N 24TH PL PHOENIX, AZ 85016-4960 US
Tel: 602-617-2385 Fax: --
Tel: 602-617-2385 Fax: --
Registration Information:
NPI: 1629427703
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
