Randolph Otto is a Pediatric Radiology in Tacoma, Washington. Randolph Otto practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Randolph Otto is 1881767606. The last update date is 2007-07-08.
Randolph Otto's current location address is 2202 S Cedar St Ste 200, Tacoma, Washington. You can contact this provider via phone number 2533831099 and fax number 2533833919. The mailing address for Randolph Otto is 2202 S Cedar St Ste 200, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Otto |
|---|---|
| Address | 2202 S Cedar St Ste 200, Tacoma, Washington |
| Phone Number | 2533831099 |
| Fax Number | 2533833919 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881767606 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2202 S Cedar St Ste 200 |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984052318 |
| Phone Number | 2533831099 |
| Fax Number | 2533833919 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 27380 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8125395 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Randolph Otto by the Centers for Medicare & Medicaid Services (CMS)?
The Randolph Otto has been assigned the NPI (National Provider Identifier) 1881767606. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Randolph Otto is physically located?
The Randolph Otto is physically situated at the following address: 2202 S Cedar St Ste 200, Tacoma, WA, 984052318.
What is Randolph Otto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randolph Otto is Pediatric Radiology, and the corresponding taxonomy classification code for this specialized field is 2085P0229X.
On what date did Randolph Otto receive its 1881767606 assignment from the Centers for Medicare & Medicaid Services?
The Randolph Otto was assigned its 1881767606 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Randolph Otto, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randolph Otto, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.