Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60001190 | WA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60001190 | WA |
NPI | 1194829549 |
---|---|
Provider Name | Randall Alan Espinosa |
First Address | Spokane, WA 99220-3649 |
Second Address | Kennewick, WA 99336-5665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 23/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0238306 | LABOR & INDUSTRIES (01) | WA |
500605094 | (05) | OR |
8519126 | (05) | WA |
P00691517 | RAILROAD MEDICARE (01) | WA |