Randall Consultants Llc

NPI 1164650636 - Chiropractor - 111N00000X

NPI Details
NPI 1164650636
Enumeration Date 06/23/2009
Last Updated 06/23/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GLEN D GLEN
Position OWNER
Phone (208) 232-0220
Fax (208) 237-9569
Practice Location
1598 DELPHIC WAY
A-2
POCATELLO ID, 83201-2200, US
Phone (208) 232-0220
Fax (208) 237-9569
Business Location
1598 DELPHIC WAY
A-2
POCATELLO ID, 83201-2200, US
Phone (208) 232-0220
Fax (208) 237-9569
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA-912
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According to our database, Randall Consultants Llc NPI is 1164650636, taxonomy code is 111N00000X and license number is CHIA-912, license state is located at Idaho. Randall Consultants Llc physically located at 1598 Delphic Way, Pocatello ID, 83201-2200. NPI Number 1033115704 has the healthcare provider type.

1164650636 NPI number is provided on an as is basis without warranty of any kind. 1164650636 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Consultants Llc are for informational purposes only.