Individual
RANDALL SEARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 N EMERSON AVE, SHELLEY, ID 83274-1105
(208) 357-1949
Mailing address
120 N EMERSON AVE, SHELLEY, ID 83274-1105
(208) 357-1949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1789
ID
111NP0017X
Pediatric Chiropractor
CHIA-1789
ID
Other
Enumeration date
11/29/2017
Last updated
04/02/2018
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