RANDOLPH OTTO

TACOMA, WA
NPI1881767606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085P0229X Radiology, Pediatric Radiology
(Licence: WA  00027380)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- RANDOLPH OTTO MD
2202 S CEDAR ST STE 200
TACOMA, WA 98405-2318
Phone number: 253-383-1099
Mailing Address
-- RANDOLPH OTTO MD
3402 S 18TH ST
TACOMA, WA 98405-1903
Phone number: