Individual
DR. RICHARD LOUIS FAIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 HARRISON AVE NW, STE 101, OLYMPIA, WA 98502-5084
(360) 704-2362
(360) 350-1445
Mailing address
4001 HARRISON AVE NW, STE 101, OLYMPIA, WA 98502-5084
(360) 704-2362
(360) 350-1445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
XXXXXXXXXX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203077
LABOR AND INDUSTRY WA
WA
01
—
6622FA
RIDER
WA
05
—
8576483
—
WA
Enumeration date
05/17/2006
Last updated
11/07/2014
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