MR. Randy Paul Vawdrey, NP

NPI #1376568493 in Pocatello, Idaho

Provider Information

NPI Number
1376568493
Entity Type
Individual
Name
MR. Randy Paul Vawdrey, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Credential
NP
Enumeration Date
Jul 12, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
495 YELLOWSTONE AVE
State
Idaho
ZIP Code
83201-4531
Phone
(208) 478-7422

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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