Individual provider · Type 1 NPI

Colton Jason Randall, PA-C

Physician Assistant · Twin Falls, ID

NPI number 1174148696 Active

Practice location

775 Pole Line Rd W Ste 112
Twin Falls, ID 83301-5819

Call (208) 814-8200 Map

Fax (208) 933-4921

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-1928 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174148696

Colton Jason Randall, PA-C's National Provider Identifier is 1174148696, issued on Jun 10, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Twin Falls, ID. The record was last updated on Feb 9, 2026.