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Dr. Randal Lee Wraalstad, DPM
Foot & Ankle Surgery Podiatrist in Twin Falls, Idaho
NPI 1255334066

Randal Lee Wraalstad is a Foot & Ankle Surgery Podiatrist based in Boise, ID and is specialized in Foot & Ankle Surgery. Randal Lee Wraalstad practices in Twin Falls, ID and has the professional credentials of DPM. The NPI Number for Randal Lee Wraalstad is 1255334066 and holds a License No. P152 (Idaho).

The current practice location address for Randal Lee Wraalstad is 762 N College Rd Ste A, Twin Falls, ID and can be reached out via phone at 208-814-7150 and via fax at 208-814-7170.

Location: 762 N College Rd Ste A, Twin Falls, ID, 83712-6241
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Provider Profile Details
NPI Number
1255334066
Provider Name
Randal Lee Wraalstad
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
762 N College Rd Ste A, Twin Falls, ID, 83712-6241
Phone Number
208-814-7150
Fax Number
208-814-7170
Provider Enumeration Date
05/24/2005
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804243900 05 ID
P00899555 01 ID MCRR
institution
Provider Business Practice Location Address Details
Address
762 N College Rd Ste A
City
State
Zip
83301-5392
Phone Number
208-814-7150
Fax Number
208-814-7170
person
Provider Business Mailing Address Details
Address
762 N College Rd Ste A
City
State
Zip
83301-5392
Phone Number
208-814-7150
Fax Number
208-814-7170
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
P152 (Idaho)
Definition
Definition to come...
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