Search › Idaho › 363AM0700X
Randall Law, PA-C
NPI 1134647019 · on the registry since 2017
Practice
- Address
- 2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404 - Phone
- (208) 419-3002
- Fax
- (208) 656-5652
- Organisation at this address
- Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Additional practice sites
- 685 1st St, Idaho Falls, ID
- 242 E 7th N Ste 4, Rexburg, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 364SP0808X
- Licence states on file
- ID, SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-02
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