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RANDALL J. SLICKERS, M.D., P.C.

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Company Details

Name: RANDALL J. SLICKERS, M.D., P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Dec 1999 (25 years ago)
Financial Date End: 31 Dec 2012
Date dissolved: 07 Mar 2013
Entity Number: 402947
Place of Formation: IDAHO
File Number: 0000402947
ZIP code: 83301
County: Twin Falls County
Mailing Address: 550 POLK ST #B TWIN FALLS, ID 83301

National Provider Identifier

NPI Number:
1790723690

Authorized Person:

Name:
RANDALL J SLICKERS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2087343675

Filing

Filing Name Filing Number Filing date
Annual Report 0002726347 2012-01-25
Annual Report 0002726346 2011-01-24
Annual Report 0002726345 2010-01-20
Annual Report 0002726349 2008-10-20
Annual Report 0002726348 2007-10-18

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State