IndividualActive
Randall Benedict, DPM
NPI 1942239264 · Podiatrist · Boise, ID
Provider details
- NPI number
- 1942239264
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- P133 (ID)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
809 N Liberty St
Boise, ID 83704-8703
Phone: (208) 327-0627
Fax: (208) 376-5258
Approximate (ZIP-level) locationGet directions
Mailing address
809 N Liberty St
Boise, ID 83704-8703
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.