Individual
MR. RANDOLPH CHARLES FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
91-1813864
WA
213ES0131X
Foot Surgery Podiatrist
PO00000297
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041490
—
WA
05
—
2041494
—
WA
Enumeration date
11/10/2005
Last updated
04/08/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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