RANDALL A BLACK

NAMPA, ID
NPI1922028083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  O-0445)
Enumeration Date2006-07-20
Last Update Date2008-01-17
Business Address
DR. RANDALL A BLACK D.O.
1512 12TH AVE RD ANESTHESIOLOGY CONSULTANTS OF IDAHO
NAMPA, ID 83686-6008
Phone number: 208-571-9043
Mailing Address
DR. RANDALL A BLACK D.O.
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5029
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