RANDALL A BLY

SEATTLE, WA
NPI1457592396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YP0228X Otolaryngology, Pediatric Otolaryngology
(Licence: WA  MD60671186)
Enumeration Date2009-03-23
Last Update Date2016-09-19
Business Address
-- RANDALL A BLY
1959 NE PACIFIC ST BOX 356161, NE-306
SEATTLE, WA 98195-0001
Phone number: 206-598-4022
Mailing Address
-- RANDALL A BLY
14015 36TH AVE NE
SEATTLE, WA 98125-3725
Phone number: 440-241-0706