Provider Demographics
NPI:1164752283
Name:RAND, RICHARD JOSEPH III (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOSEPH
Last Name:RAND
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9250 N 3RD ST STE 3020
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2425
Mailing Address - Country:US
Mailing Address - Phone:480-939-3440
Mailing Address - Fax:480-939-3448
Practice Address - Street 1:9250 N 3RD ST STE 3020
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2425
Practice Address - Country:US
Practice Address - Phone:480-939-3440
Practice Address - Fax:480-939-3448
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0703213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist