| Randall J Slickers, M.d., P.c. | |
|
1235 Filer Ave E Twin Falls ID 83301-4118 | |
| (208) 734-3226 | |
| (208) 734-3675 |
| Full Name | Randall J Slickers, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1235 Filer Ave E, Twin Falls, Idaho |
| Authorized Official Name and Position | Randall J Slickers (PHYSICIAN) |
| Authorized Official Contact | 2087343226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall J Slickers, M.d., P.c. 1235 Filer Ave E Twin Falls ID 83301-4118 Ph: (208) 734-3226 | Randall J Slickers, M.d., P.c. 1235 Filer Ave E Twin Falls ID 83301-4118 Ph: (208) 734-3226 |
| NPI Number | 1790723690 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790723690 | NPI | - | NPPES |
| 080105158 | Other | ID | RR MEDICARE |
| 003957900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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