Gerald G. Randolph, M.D., Inc., P.S. in Olympia - Medical Specialty
Gerald G. Randolph, M.D., Inc., P.S. - NPI 1013131374
Gerald G. Randolph, M.D., Inc., P.S. is a Medical Specialty in Olympia, Washington. Gerald G. Randolph, M.D., Inc., P.S. practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Gerald G. Randolph, M.D., Inc., P.S. is 1013131374. The last update date is 2009-03-04.
Gerald G. Randolph, M.D., Inc., P.S.'s current location address is 406 Yauger Way Sw, Olympia, Washington. You can contact this provider via phone number 8773683926 and fax number 2065752874. The mailing address for Gerald G. Randolph, M.D., Inc., P.S. is 406 Yauger Way Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gerald G. Randolph, M.D., Inc., P.S. |
|---|---|
| Address | 406 Yauger Way Sw, Olympia, Washington |
| Phone Number | 8773683926 |
| Fax Number | 2065752874 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Randolph Guy Gerald |
| Credentials | M.D. |
| Telephone Number | 8773683926 |
NPI Number Detail
| NPI Number | 1013131374 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2009-03-04 |
Provider Mailing Address Detail
| Address | 406 Yauger Way Sw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985028151 |
| Phone Number | 8773683926 |
| Fax Number | 2065752874 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | MD00010827 |
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Definition: 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 |
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Post Comment/ Review Below
What is the Gerald G. Randolph, M.D., Inc., P.S.'s 1013131374?
The Gerald G. Randolph, M.D., Inc., P.S.'s NPI (National Provider Identifier) Number is 1013131374. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gerald G. Randolph, M.D., Inc., P.S.?
The Gerald G. Randolph, M.D., Inc., P.S. is situated at 406 Yauger Way Sw, in the city of Olympia, state of WA, with the zip code 985028151.
What is Gerald G. Randolph, M.D., Inc., P.S.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gerald G. Randolph, M.D., Inc., P.S. is Medical Specialty, and the taxonomy code that classifies this field of practice is 261Qm2500X.
When did the Gerald G. Randolph, M.D., Inc., P.S. receive its 1013131374?
The Gerald G. Randolph, M.D., Inc., P.S. was issued its 1013131374 on 2007-04-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Gerald G. Randolph, M.D., Inc., P.S. most recently updated or revised?
The information pertaining to Gerald G. Randolph, M.D., Inc., P.S., including its address, specialty, and other relevant details, was last updated or revised on 2009-03-04.