NPI 1255334066

Randal Lee Wraalstad, DPM

Practitioner Foot & Ankle Surgery Podiatrist Twin Falls, ID

Practice location

Address: 762 N College Rd STE a, Twin Falls, ID 83301-5392
Phone: (208) 814-7150
Fax: (208) 814-7170
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P152 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1255334066
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2005
Record last updated: 5 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.