Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN RANDALL, DC
ActiveGLEN RANDALL, DC is a Chiropractor healthcare provider located in POCATELLO, Idaho. NPI 1427083807 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · POCATELLO, ID
Registration Details
- NPI Number
- 1427083807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.059164184946 yrs)
- Last Updated
- Jul 9, 2007
- License
-
CHIA-912 (ID)
Practice Information
- Address
-
1598 DELPHIC WAY STE A2POCATELLO, ID, 832012200Browse ID providers · Browse ZIP 83201
- Phone
- 2082320220
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL C MECHAM | D.C. | 1780635409 |
| DR. H. DEWAIN LEE | D.C. | 1598875163 |
| DR. ROBERT C. LEE | D.C | 1720198310 |
| DR. JESSIE DEAN SMITH | D.C. | 1003918319 |
| DR. DANA F LILJENQUIST | D.C. | 1457429441 |
| DR. GARY L JOHNSON II | DC | 1588721930 |
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.