Individual
RANDALL P PRIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 667-7463
(208) 762-6385
Mailing address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 667-7463
(208) 762-6385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-856
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805124000
—
ID
Enumeration date
05/24/2006
Last updated
01/18/2013
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