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1881767606
RANDOLPH OTTO
TACOMA, WA
NPI
1881767606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085P0229X Radiology, Pediatric Radiology
(Licence: WA 00027380)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- RANDOLPH OTTO MD
2202 S CEDAR ST STE 200
TACOMA, WA 98405-2318
Phone number: 253-383-1099
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Mailing Address
-- RANDOLPH OTTO MD
3402 S 18TH ST
TACOMA, WA 98405-1903
Phone number:
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