Individual
SCOTT M GAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4554
Mailing address
PO BOX 5007, LACEY, WA 98509-5007
(360) 918-0119
(360) 413-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10005252
WA
363A00000X
Physician Assistant
Primary
PA1809
ME
Other
Enumeration date
10/04/2007
Last updated
08/06/2018
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