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Randall W Ideker, PA
Medical Physician Assistant in Everett, Washington
NPI 1538224753

Randall W Ideker is a Medical Physician Assistant based in Seattle, WA and is specialized in Medical. Randall W Ideker practices in Everett, WA and has the professional credentials of PA. The NPI Number for Randall W Ideker is 1538224753 and holds a License No. PA10000364 (Washington).

The current practice location address for Randall W Ideker is 2930 Maple St, Everett, WA and can be reached out via phone at 425-261-1500.

Location: 2930 Maple St, Everett, WA, 98124-1584
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Provider Profile Details
NPI Number
1538224753
Provider Name
Randall W Ideker
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2930 Maple St, Everett, WA, 98124-1584
Phone Number
425-261-1500
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8343139 05 WA
institution
Provider Business Practice Location Address Details
Address
2930 Maple St
City
State
Zip
98201-3832
Phone Number
425-261-1500
Fax Number
person
Provider Business Mailing Address Details
Address
2930 Maple St
City
State
Zip
98201-3832
Phone Number
425-261-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10000364 (Washington)
Definition
Definition to come...
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