Individual
EVAN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 MERCER ST # 358047, SEATTLE, WA 98109-4714
(818) 744-3000
Mailing address
815 MERCER ST, BOX 358047, SEATTLE, WA 98109-4714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61049802
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
04/29/2021
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