# RANDALL J SLICKERS, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790723690
- **Authorized official:** RANDALL J SLICKERS M.D. (PHYSICIAN)
- **Authorized official phone:** (208) 734-3226

## Contact information

- **Practice address:** 1235 FILER AVE E, TWIN FALLS, ID 83301-4118
- **Practice address phone:** (208) 734-3226
- **Practice address fax:** (208) 734-3675
- **Mailing address:** 1235 FILER AVE E, TWIN FALLS, ID 83301-4118
- **Mailing address phone:** (208) 734-3226
- **Mailing address fax:** (208) 734-3675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 06/17/2008