Individual
DR. RANDI WAYNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
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
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