person
Mr. Randolph Charles Fish, DPM
Foot Surgery Podiatrist in Tacoma, Washington
NPI 1063493559

Randolph Charles Fish is a Foot Surgery Podiatrist based in Tacoma, WA and is specialized in Foot Surgery. Randolph Charles Fish practices in Tacoma, WA and has the professional credentials of DPM. The NPI Number for Randolph Charles Fish is 1063493559 and holds a License No. 91-1813864 (Washington).

The current practice location address for Randolph Charles Fish is 915 So. 76Th St., Tacoma, WA and can be reached out via phone at 253-584-9530 and via fax at 360-427-2769.

Location: 915 So. 76Th St., Tacoma, WA, 98408-2902
person
Provider Profile Details
NPI Number
1063493559
Provider Name
Randolph Charles Fish
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
915 So. 76Th St., Tacoma, WA, 98408-2902
Phone Number
253-584-9530
Fax Number
360-427-2769
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2041494 05 WA
2041490 05 WA
institution
Provider Business Practice Location Address Details
Address
915 So. 76Th St.
City
State
Zip
98408-2902
Phone Number
253-584-9530
Fax Number
360-427-2769
person
Provider Business Mailing Address Details
Address
915 So. 76Th St.
City
State
Zip
98408-2902
Phone Number
253-584-9530
Fax Number
360-427-2769
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
PO00000297 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
91-1813864 (Washington)
Definition
Definition to come...
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