IndividualActive
Randal Wraalstad, D.P.M.
NPI 1255334066 · Foot & Ankle Surgery Podiatrist · Twin Falls, ID
Provider details
- NPI number
- 1255334066
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- P152 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
762 N College Rd Ste a
Twin Falls, ID 83301-5392
Phone: (208) 814-7150
Fax: (208) 814-7170
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.