DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERALD G. RANDOLPH, M.D., INC., P.S.

Active Organization

Medical Specialty Clinic · OLYMPIA, WA

Registration Details

NPI Number
1013131374
Provider Type
Organization
NPI Issued
Apr 11, 2007 (19.028644715241 yrs)
Last Updated
Mar 4, 2009
License
MD00010827 (WA)

Practice Information

Address
406 YAUGER WAY SW
SUITE B
OLYMPIA, WA, 985028151
Browse WA providers · Browse ZIP 98502
Phone
2065752875
Fax
2065752874
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in OLYMPIA, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.