RANDALL S. PRUST MD PC
NPI 1821652686
Pain Medicine - Interventional Pain Medicine in Tucson, AZ

Active since April 26, 2019
6060 N FOUNTAIN PLAZA DR STE 170, TUCSON, AZ 85704(520) 731-5540 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About RANDALL S. PRUST MD PC

This page provides the complete NPI Profile along with additional information for Randall S. Prust Md Pc, a provider established in Tucson, Arizona operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1821652686 assigned on April 2019. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Randall S. Prust Md Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Randall S. Prust Md (President)

NPI
1821652686 Verify this NPI
Provider Name
RANDALL S. PRUST MD PC
Entity Type
Organization
Location Address
6060 N FOUNTAIN PLAZA DR STE 170 TUCSON, AZ 85704
Location Phone
(520) 731-5540
Mailing Address
4747 E CAMP LOWELL DR TUCSON, AZ 85712
Mailing Phone
(520) 731-5540
Mailing Fax
(520) 731-5541
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2019
Last Update Date
04-26-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDALL S. PRUST MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(520) 731-5540

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821652686, enumerated as an "organization" on April 26, 2019.

The provider is located at 6060 N FOUNTAIN PLAZA DR STE 170 TUCSON, AZ 85704 and the phone number is (520) 731-5540.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.