RANDALL W IDEKER

EVERETT, WA
NPI1538224753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10000364)
Enumeration Date2006-12-27
Last Update Date2008-05-08
Business Address
-- RANDALL W IDEKER P.A.
2930 MAPLE ST
EVERETT, WA 98201-3832
Phone number: 425-261-1500
Mailing Address
-- RANDALL W IDEKER P.A.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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