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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLTON JASON RANDALL, PA-C

Active

COLTON JASON RANDALL, PA-C is a Physician Assistant healthcare provider located in TWIN FALLS, Idaho. NPI 1174148696 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TWIN FALLS, ID

Registration Details

NPI Number
1174148696
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2020 (6.1340135992729 yrs)
Last Updated
Feb 9, 2026
License
PA-1928 (ID)

Practice Information

Address
775 POLE LINE RD W STE 112
TWIN FALLS, ID, 833015819
Browse ID providers · Browse ZIP 83301
Phone
2088148200
Fax
2089334921
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TWIN FALLS, ID

Name Credential NPI
CHUCK B FULLER PA-C 1124015102
WINSTON N PETERSEN PA-C 1194714717
JEREMY DAVID WILLES PAC 1356314843
BRIAN KEITH BIZIK P.A. 1932166956
NEELIE BERLIN WILLIS PA-C 1477590958
NICHOLAS J PERIUS PA 1154363000
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.