Individual
DR. RANDALL S. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8610 EASTVIEW AVE, EVERETT, WA 98208-3516
(425) 252-0203
(425) 337-5961
Mailing address
11014 19TH AVE SE, STE. 8 PMB #320, EVERETT, WA 98208-5132
(425) 252-0203
(425) 337-5961
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO00000474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078963
—
WA
Enumeration date
03/18/2007
Last updated
07/08/2007
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