Randall A. Black, D.O.
Anesthesiology · Nampa, ID
UnclaimedD.O.NPI 1922028083
- Primary taxonomy
- 207L00000X
- Enumerated
- 2006-07-20
- Practice location
- Nampa, ID
- Last NPPES update
- 2008-01-17
State licenses
- ID · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.