Individual provider · Type 1 NPI

Randal Lee Wraalstad, D.P.M.

Foot & Ankle Surgery Podiatrist · Twin Falls, ID

NPI number 1255334066 Active

Practice location

762 N College Rd Ste A
Twin Falls, ID 83301-5392

Fax (208) 814-7170

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XP152 (ID)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1255334066

Randal Lee Wraalstad, D.P.M.'s National Provider Identifier is 1255334066, issued on May 24, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Twin Falls, ID. The record was last updated on Nov 5, 2024.