SearchIdaho111N00000X

Randal Heimark, D.C

NPI 1023485901 · on the registry since 2015 · sole proprietor

Practice

Address
12140 N Chicken Point Rd
Hayden, ID 83835
Phone
(208) 651-8810

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho