Individual
GARY DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2527 10TH CT SE, OLYMPIA, WA 98501-2795
(253) 302-7651
Mailing address
2527 10TH CT SE, OLYMPIA, WA 98501-2795
(253) 302-7651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61660476
WA
Other
Enumeration date
08/07/2023
Last updated
02/23/2025
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