RANDALL LAW, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1134647019

Practice Address

2001 S WOODRUFF AVE STE 9
Idaho Falls, ID 83404

Phone: (208) 419-3002

Specialties

Specialty Code Primary License
Clinical Nurse Specialist - Psychiatric/Mental Health 364SP0808X No PA1797 (ID)
Physician Assistant - Medical 363AM0700X Yes 1108 (SD)

Frequently Asked Questions

NPI 1134647019 is the National Provider Identifier for RANDALL LAW, PA-C, a Physician Assistant - Medical provider located in Idaho Falls, ID. This NPI was enumerated on August 31, 2017.
RANDALL LAW, PA-C practices at 2001 S WOODRUFF AVE STE 9, Idaho Falls, ID 83404.

Quick Facts

NPI
1134647019
Type
Individual
Enumerated
Aug 31, 2017
Last Updated
Aug 2, 2021

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