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Organization

OLYMPIA INTERNAL MEDICINE ASSOC.,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD J FAY MD (OWNER)
(360) 493-4410
Entity
Organization

Contact information

Practice address
525 LILLY RD NE, OLYMPIA, WA 98506
(360) 493-4410
(360) 493-5511
Mailing address
525 LILLY RD NE, OLYMPIA, WA 98506
(360) 493-4410
(360) 493-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00018118
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7095938
WA
Enumeration date
07/07/2006
Last updated
12/17/2009
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