DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDOLPH CHARLES FISH, D.P.M.

Active Sole Proprietor

MR. RANDOLPH CHARLES FISH, D.P.M. is a Radiology Podiatrist healthcare provider located in TACOMA, Washington. NPI 1063493559 is currently active in the NPPES registry. Verify at CMS.

Radiology Podiatrist · TACOMA, WA

Registration Details

NPI Number
1063493559
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2005 (20.572964779037 yrs)
Last Updated
Apr 8, 2016
Licenses
91-1813864 (WA)
PO00000297 (WA)
Sole Proprietor
Yes

Practice Information

Address
915 SO. 76TH ST.
TACOMA, WA, 984082902
Browse WA providers · Browse ZIP 98408
Phone
2535849530
Fax
3604272769
Primary Specialty
Radiology Podiatrist
213EP1101X
Additional Specialty
Foot Surgery Podiatrist

Other Radiology Podiatrist Providers in TACOMA, WA

Name Credential NPI
DR. HUGH JAMES GOREY JR. D.P.M. 1689732588
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.