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Gary Randall
NPI 1962818740 · on the registry since 2014
Practice
- Address
- 209 E Lewis St
Pocatello, ID 83201 - Phone
- (208) 233-7693
- Organisation at this address
- Joshua D Smith And Associates Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-01
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