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
State
Idaho
ZIP Code
83404-6371
Phone
(208) 419-3002

Specialties & Taxonomy Codes

Specialty
Clinical Nurse Specialist - Psychiatric/Mental HealthPsychiatric/Mental Health
Physician Assistant - MedicalMedical

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