Organization
RANDALL CONSULTANTS LLC
Active
Other names
Randall Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN D RANDALL D.C. (OWNER)
(208) 232-0220
Entity
Organization
Contact information
Practice address
1598 DELPHIC WAY, A-2, POCATELLO, ID 83201-2200
(208) 232-0220
(208) 237-9569
Mailing address
1598 DELPHIC WAY, A-2, POCATELLO, ID 83201-2200
(208) 232-0220
(208) 237-9569
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-912
ID
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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