Individual
DR. RANDI WAYNE HART
Active
Individual
DR. RANDI WAYNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-12202
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD60097539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252750
L&I-RADIA REST OF WA
WA
01
—
0377781
L&I-RADIA KING COUNTY
WA
01
—
0377786
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0377789
L&I-EVERGREEN RADIA
WA
05
—
1497741870
—
ID
05
—
7207960
—
SD
05
—
8552739
—
WA
Enumeration date
09/21/2005
Last updated
02/21/2019
Update your record
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