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Search › Idaho › 111N00000X

Glen Randall, DC

NPI 1427083807 · on the registry since 2006

Practice

Address
1598 Delphic Way Ste A2
Pocatello, ID 83201
Phone
(208) 232-0220
Organisation at this address
Olympus Family Dental
Randall Consultants Llc
Fellows Family Dental - Ad Llc
Olympus Family Wellness Center, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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