Individual
RANDALL T HERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 SPRUCE ST ., KETCHUM, ID 83340
(208) 726-9781
(208) 726-1377
Mailing address
PO BOX 1204, KETCHUM, ID 83340-1204
(208) 726-9781
(208) 726-1377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M4140
ID
207R00000X
Internal Medicine Physician
Primary
M4140
ID
Other
Enumeration date
01/03/2007
Last updated
09/11/2025
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