Randolph Bourne, MD

NPI #1881735736 in Edmonds, Washington

Provider Information

NPI Number: 1881735736
Entity Type: Individual
Name: Randolph Bourne, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: Feb 12, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 21616 76TH AVE W STE 205
City: Edmonds
State: Washington
ZIP Code: 98026-7512
Phone: (425) 640-4810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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