Randolph Charles Fish D.P.M

NPI 1063493559 - Podiatrist - 213ES0131X

NPI Details
NPI 1063493559
Gender Male
Enumeration Date 11/10/2005
Last Updated 02/04/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
915 S 76TH ST
TACOMA WA, 98408-2902, US
Phone (253) 584-9530
Fax (360) 427-2769
Business Location
PO BOX 99966
LAKEWOOD WA, 98496-0966, US
Phone (253) 584-9530
Fax (253) 581-9051
Taxonomy Code 213ES0131X
License State Washington
License Number PO00000297
Remove 1063493559 NPI Number

According to our database, Dr. Randolph Charles Fish D.P.M NPI is 1063493559, taxonomy code is 213ES0131X and license number is PO00000297, license state is located at Washington. Randolph Charles Fish D.P.M physically located at 915 S 76th St, Tacoma WA, 98408-2902. NPI Number Randolph Charles Fish D.P.M has the Individual type.

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1063493559 NPI number is provided on an as is basis without warranty of any kind. 1063493559 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph Charles Fish D.P.M are for informational purposes only.