Individual provider · Type 1 NPI
Randall S. Fisher, D.P.M.
Primary Podiatric Medicine Podiatrist · Everett, WA
NPI number
1922122811
Active
Practice location
8610 Eastview Ave
Everett, WA 98208-3516
Fax (425) 337-5961
Mailing address
11014 19th Ave SE, Ste. 8 Pmb #320
Everett, WA 98208-5132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | PO00000474 (WA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1922122811
Randall S. Fisher, D.P.M.'s National Provider Identifier is 1922122811, issued on Mar 18, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Everett, WA. The record was last updated on Jul 8, 2007.