On Point Podiatry Pllc | |
20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | |
(480) 707-9504 | |
Not Available |
Full Name | On Point Podiatry Pllc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 20333 N 19th Ave Ste 230, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003681271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Jessica Vernola Randolph |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1053788000 PECOS PAC ID: 9133477581 Enrollment ID: I20180801003328 |
Mailing Address | Practice Location Address |
---|---|
On Point Podiatry Pllc 20333 N 19th Ave, Phoenix, AZ 85027-3627 Ph: (480) 707-9504 | On Point Podiatry Pllc 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 Ph: (480) 707-9504 |
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