Individual
DR. RANDALL F KLOEPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 882-4511
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-6162
ID
207R00000X
Internal Medicine Physician
M-6162
ID
207R00000X
Internal Medicine Physician
MD00037300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8143596
—
WA
Enumeration date
05/22/2006
Last updated
07/19/2024
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