Randall L Benedict is a Podiatrist in Boise, Idaho. Randall L Benedict practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Randall L Benedict is 1942239264. The last update date is 2007-07-08.
Randall L Benedict's current location address is 809 N Liberty St, Boise, Idaho. You can contact this provider via phone number 2083270627 and fax number 2083765258. The mailing address for Randall L Benedict is 809 N Liberty St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Benedict |
|---|---|
| Address | 809 N Liberty St, Boise, Idaho |
| Phone Number | 2083270627 |
| Fax Number | 2083765258 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1942239264 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 809 N Liberty St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048703 |
| Phone Number | 2083270627 |
| Fax Number | 2083765258 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | P133 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1970800 | ID | -- |
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What is the unique 10-digit identifier code issued to Randall L Benedict by the Centers for Medicare & Medicaid Services?
The Randall L Benedict has been assigned the NPI (National Provider Identifier) 1942239264 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Randall L Benedict is physically located?
The Randall L Benedict is physically situated at the following address: 809 N Liberty St, Boise, ID, 837048703.
What is Randall L Benedict's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall L Benedict's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did Randall L Benedict receive its 1942239264 assignment from the Centers for Medicare & Medicaid Services?
The Randall L Benedict was assigned its 1942239264 on 2006-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Randall L Benedict's details last updated?
The information pertaining to the Randall L Benedict, including its address, specialty, and other details, was most recently updated on 2007-07-08.