Randall James Law, PA-C
NPI #1134647019 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1134647019
- Entity Type
- Individual
- Name
- Randall James Law, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 31, 2017
- Last Updated
- Aug 2, 2021
Practice Location
- Address
- 2001 S WOODRUFF AVE STE 9
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6371
- Phone
- (208) 419-3002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Physician Assistant - Medical — Medical |
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