person
Randall James Law, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1134647019

Randall James Law is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Randall James Law practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Randall James Law is 1134647019 and holds a License No. PA1797 (Idaho).

The current practice location address for Randall James Law is 2001 S Woodruff Ave Ste 9, Idaho Falls, ID and can be reached out via phone at 208-419-3002 and via fax at 208-656-5652.

Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID, 83404-6371
person
Provider Profile Details
NPI Number
1134647019
Provider Name
Randall James Law
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2001 S Woodruff Ave Ste 9, Idaho Falls, ID, 83404-6371
Phone Number
208-419-3002
Fax Number
208-656-5652
Provider Enumeration Date
08/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff Ave Ste 9
City
State
Zip
83404-6371
Phone Number
208-419-3002
Fax Number
208-656-5652
person
Provider Business Mailing Address Details
Address
2001 S Woodruff Ave Ste 9
City
State
Zip
83404-6371
Phone Number
208-419-3002
Fax Number
208-656-5652
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1108 (South Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
PA1797 (Idaho)
Definition
Definition to come...
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