OrganizationActive
Gerald G. Randolph, M.D., Inc., P.s.
NPI 1013131374 · Medical Specialty Clinic/Center · Olympia, WA
Provider details
- NPI number
- 1013131374
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gerald Randolph, President
- License
- MD00010827 (WA)
Practice location
406 Yauger Way Sw
Suite B
Olympia, WA 98502-8151
Phone: (206) 575-2875
Fax: (206) 575-2874
Mailing address
406 Yauger Way Sw
Olympia, WA 98502-8151
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2009-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.