Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Milton Randall, DO

Individual provider Family Medicine Physician · NPI 1194733733

Gary Milton Randall, DO is a Family Practice in Mesa, Arizona. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1979, 47 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
47
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4135 S Power Rd Ste 120
Mesa, AZ 85212-3626
Phone: (480) 892-7000
Fax: (480) 545-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 006034 (AZ)

Record details

NPI number1194733733
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address4135 S Power Rd Ste 120, Mesa, AZ 85212-3626

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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