RANDOLPH CHARLES FISH

TACOMA, WA
NPI1063493559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: WA  91-1813864)
Additional Taxonomies213ES0131X Podiatrist, Foot Surgery
(Licence: WA  PO00000297)
Enumeration Date2005-11-10
Last Update Date2016-04-08
Business Address
Mr. RANDOLPH CHARLES FISH D.P.M.
915 SO. 76TH ST.
TACOMA, WA 98408-2902
Phone number: 253-584-9530
Mailing Address
Mr. RANDOLPH CHARLES FISH D.P.M.
915 SO. 76TH ST
TACOMA, WA 98408-2902
Phone number: 253-584-9530