Organization
OLYMPIA INTERNAL MEDICINE ASSOC.,LLC
Active
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
Update your record
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