Individual
DR. THOMAS H. RAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, SUITE 200, BOISE, ID 83712-6267
(208) 381-7330
(208) 381-7331
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7330
(208) 381-7331
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
M6109
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003904800
—
ID
Enumeration date
06/05/2006
Last updated
09/15/2012
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