RANDAL LEE WRAALSTAD

TWIN FALLS, ID
NPI1255334066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: ID  p152)
Enumeration Date2005-05-24
Last Update Date2024-11-05
Business Address
Dr. RANDAL LEE WRAALSTAD D.P.M.
762 N COLLEGE RD STE A
TWIN FALLS, ID 83301-5392
Phone number: 208-814-7150
Mailing Address
Dr. RANDAL LEE WRAALSTAD D.P.M.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: