Provider Demographics
NPI:1164258216
Name:RANDALL K TOZER MD PC
Entity type:Organization
Organization Name:RANDALL K TOZER MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:TOZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-406-3540
Mailing Address - Street 1:9811 N 95TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4527
Mailing Address - Country:US
Mailing Address - Phone:480-947-4493
Mailing Address - Fax:480-947-4571
Practice Address - Street 1:1830 S ALMA SCHOOL RD STE 102
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3086
Practice Address - Country:US
Practice Address - Phone:480-947-4493
Practice Address - Fax:480-947-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies