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Contact Information

RANDALL A BLY
1959 NE PACIFIC ST
BOX 356161, NE-306
SEATTLE, WA98195-0001
 Phone: 206-598-4022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RANDALL A BLY · (Male)

NPI Number 1457592396
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2009
Last updated 09/19/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD60671186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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