Organization · Type 2 NPI
Gerald G. Randolph, M.d., Inc., P.s.
Medical Specialty Clinic/Center · Olympia, WA
Practice location
406 Yauger Way SW, Suite B
Olympia, WA 98502-8151
Fax (206) 575-2874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | MD00010827 (WA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2 other providers at this address
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About NPI 1013131374
Gerald G. Randolph, M.d., Inc., P.s.'s National Provider Identifier is 1013131374, issued on Apr 11, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Olympia, WA. The record was last updated on Mar 4, 2009.