Gerald G. Randolph, M.d., Inc., P.s.

NPI 1013131374 - Clinic/Center - 261QM2500X

NPI Details
NPI 1013131374
Enumeration Date 04/11/2007
Last Updated 03/04/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD GUY GERALD
Position PRESIDENT
Phone (206) 575-2875
Fax (206) 575-2874
Practice Location
406 YAUGER WAY SW
SUITE B
OLYMPIA WA, 98502-8151, US
Phone (206) 575-2875
Fax (206) 575-2874
Business Location
406 YAUGER WAY SW
SUITE B
OLYMPIA WA, 98502-8151, US
Phone (877) 368-3926
Fax (206) 575-2874
Toxanomy
Taxonomy Code 261QM2500X
License State Washington
License Number MD00010827
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According to our database, Gerald G. Randolph, M.d., Inc., P.s. NPI is 1013131374, taxonomy code is 261QM2500X and license number is MD00010827, license state is located at Washington. Gerald G. Randolph, M.d., Inc., P.s. physically located at 406 Yauger Way Sw, Olympia WA, 98502-8151. NPI Number 1033115704 has the healthcare provider type.

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1013131374 NPI number is provided on an as is basis without warranty of any kind. 1013131374 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald G. Randolph, M.d., Inc., P.s. are for informational purposes only.