Mr. Randolph Charles Fish
Foot Surgery Primary Podiatric Medicine
915 So. 76th St.
Tacoma
, Washington 98408-2902
Mr. Randolph Charles Fish
Foot Surgery Primary Podiatric Medicine
915 So. 76th St.
Tacoma
, Washington 98408-2902
(360) 427-2769
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Mr. Randolph Charles Fish
- 915 So. 76th St
- Tacoma, WA
- Zip : 98408-2902
- Fax : (360) 427-2769
- Phone : (253) 584-9530
Second Address
- Mr. Randolph Charles Fish
- 915 So. 76th St.
- Tacoma, WA
- Zip : 98408-2902
- Fax : (360) 427-2769
- Phone : (253) 584-9530
Reviews
FAQs
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What type of doctor is Mr. Randolph Charles Fish
In what state does Mr. Randolph Charles Fish practice in?
Where is Mr. Randolph Charles Fish ’s practice located?
What is Mr. Randolph Charles Fish ’s gender?
Is Mr. Randolph Charles Fish a sole practitioner?
Is Mr. Randolph Charles Fish accepting new patients?
What languages does Mr. Randolph Charles Fish speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 91-1813864 | WA |
| N | 213ES0131X | Foot Surgery | PO00000297 | WA |
National Provider Identifier
| NPI | 1063493559 |
|---|---|
| Provider Name | Mr. Randolph Charles Fish |
| First Address | Tacoma, WA 98408-2902 |
| Second Address | Tacoma, WA 98408-2902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2005 |
| Last Update Date | 08/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2041490 | (05) | WA |
| 2041494 | (05) | WA |
| AB01980 | (02) | WA |
| T11570 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.