NPI 1013131374

Gerald G. Randolph, M.D., INC., P.S.

Organisation Medical Specialty Clinic/Center Olympia, WA

Practice location

Address: 406 Yauger Way SW Suite B, Olympia, WA 98502-8151
Phone: (206) 575-2875
Fax: (206) 575-2874

Authorised official

Name: Gerald Guy Randolph
Title: President
Phone: (877) 368-3926

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence MD00010827 (WA)

Other Clinic/Center providers in Washington →

Registry record

NPI: 1013131374
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 4 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.