Organization
RANDALL J SLICKERS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J SLICKERS M.D. (PHYSICIAN)
(208) 734-3226
Entity
Organization
Contact information
Practice address
1235 FILER AVE E, TWIN FALLS, ID 83301-4118
(208) 734-3226
(208) 734-3675
Mailing address
1235 FILER AVE E, TWIN FALLS, ID 83301-4118
(208) 734-3226
(208) 734-3675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003957900
—
ID
01
—
080105158
RR MEDICARE
ID
Enumeration date
06/03/2006
Last updated
06/17/2008
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