Randall A Bly
Pediatric Otolaryngology
1959 Ne Pacific St Box 356161, Ne-306
Seattle
, Washington 98195-0001
Randall A Bly
Pediatric Otolaryngology
1959 Ne Pacific St Box 356161, Ne-306
Seattle
, Washington 98195-0001
(440) 241-0706
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Randall A Bly
- 14015 36th Ave Ne
- Seattle, WA
- Zip : 98125-3725
- Phone : (440) 241-0706
Second Address
- Randall A Bly
- 1959 Ne Pacific St Box 356161, Ne-306
- Seattle, WA
- Zip : 98195-0001
- Phone : (206) 598-4022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | MD60671186 | WA |
National Provider Identifier
| NPI | 1457592396 |
|---|---|
| Provider Name | Randall A Bly |
| First Address | Seattle, WA 98125-3725 |
| Second Address | Seattle, WA 98195-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2009 |
| Last Update Date | 19/09/2016 |
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.