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Contact Information

GORDON WHEAT, MD
700 LILLY RD NE
OLYMPIA, WA98506-5115
 Phone: 360-923-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GORDON WHEAT · (Male)

NPI # 1013074699
Status Active
Credentials MD
Entity Individual
Enumeration date 01/02/2007
Last updated 05/09/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00025391
  • WA Medicaid 8111122
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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