Randolph Charles Fish in Tacoma - Primary Podiatric Medicine
Randolph Charles Fish - NPI 1063493559
Randolph Charles Fish is a Primary Podiatric Medicine in Tacoma, Washington. Randolph Charles Fish practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Randolph Charles Fish is 1063493559. The last update date is 2016-04-08.
Randolph Charles Fish's current location address is 915 So. 76th St, Tacoma, Washington. You can contact this provider via phone number 2535849530 and fax number 3604272769. The mailing address for Randolph Charles Fish is 915 So. 76th St, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Charles Fish |
|---|---|
| Address | 915 So. 76th St, Tacoma, Washington |
| Phone Number | 2535849530 |
| Fax Number | 3604272769 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1063493559 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2016-04-08 |
Provider Mailing Address Detail
| Address | 915 So. 76th St |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984082902 |
| Phone Number | 2535849530 |
| Fax Number | 3604272769 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 91-1813864 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2041494 | WA | -- | |
| 2041490 | WA | -- |
Post Comment/ Review Below
What is the Randolph Charles Fish's unique identification number?
The Randolph Charles Fish has been assigned the NPI (National Provider Identifier) Number 1063493559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Randolph Charles Fish?
The Randolph Charles Fish is physically situated at 915 So. 76Th St, in the city of Tacoma, state of WA, with the postal code 984082902.
What is Randolph Charles Fish's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randolph Charles Fish's area of specialization is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063493559 to Randolph Charles Fish?
The Randolph Charles Fish received its 1063493559 assignment from the Centers for Medicare & Medicaid Services on 2005-11-10.
As of what date was the information pertaining to Randolph Charles Fish, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Randolph Charles Fish, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-04-08.