Gerald G. Randolph, M.d., Inc., P.s.
NPI #1013131374 in Olympia, Washington
Provider Information
- NPI Number
- 1013131374
- Entity Type
- Organization
- Organization Name
- Gerald G. Randolph, M.d., Inc., P.s.
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Mar 4, 2009
Practice Location
- Address
- 406 YAUGER WAY SW
- Address 2
- SUITE B
- City
- Olympia
- State
- Washington
- ZIP Code
- 98502-8151
- Phone
- (206) 575-2875
Authorized Official
- Name
- DR. GERALD GUY RANDOLPH, M.D.
- Title
- PRESIDENT
- Phone
- (877) 368-3926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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