Individual
DR. RANDALL C. MAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G58888
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G58888
CA
Other
Enumeration date
12/22/2005
Last updated
04/27/2021
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