Provider Demographics
NPI:1851644033
Name:RAND, MAX DOUGLAS (DPM)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:DOUGLAS
Last Name:RAND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4200 N RODNEY PARHAM RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-2458
Mailing Address - Country:US
Mailing Address - Phone:305-494-6448
Mailing Address - Fax:954-518-2276
Practice Address - Street 1:4200 N RODNEY PARHAM RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2458
Practice Address - Country:US
Practice Address - Phone:501-534-8888
Practice Address - Fax:501-534-8891
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPR216213ES0103X
AR270213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery