Individual
DR. RANDAL SCOT HEIMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12140 N CHICKEN POINT RD, HAYDEN, ID 83835-6909
(208) 651-8810
Mailing address
12140 N CHICKEN POINT RD, HAYDEN, ID 83835-6909
(208) 651-8810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60542762
WA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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