Individual
RANDOLPH WADE JUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 24TH ST, ANACORTES, WA 98221-2557
(360) 299-1311
(360) 299-1312
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00013212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229020
LIWA
WA
01
—
1190JU
BSWA
WA
01
—
1211JU
BSWA
WA
05
—
8171290
—
WA
05
—
8259301
—
WA
Enumeration date
06/22/2006
Last updated
03/17/2008
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