Individual
DR. GREGORY DEE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 LILLY RD NE, SUITE 100, OLYMPIA, WA 98506-5117
(360) 491-4211
Mailing address
PO BOX 368, OLYMPIA, WA 98507-0368
(360) 455-5144
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD 60217611
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD 60217611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 60217611
WA MEDICAL LICENSE
WA
Enumeration date
11/06/2008
Last updated
04/17/2013
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