NPI 1063493559

Randolph Charles Fish, DPM

Practitioner Primary Podiatric Medicine Podiatrist Tacoma, WA

Practice location

Address: 915 So. 76th St., Tacoma, WA 98408-2902
Phone: (253) 584-9530
Fax: (360) 427-2769
Mailing address: 915 So. 76th St, Tacoma, WA 98408-2902

Registered specialties (2)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 91-1813864 (WA)

Other Podiatrist providers in Washington →

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence PO00000297 (WA)

Registry record

NPI: 1063493559
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2005
Record last updated: 8 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.