MEDICARE: DR. JOYCE A GILBERT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	60507759	WA

General Provider Information

NPI Number	:	1174515993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE A GILBERT MD

Provider Business Mailing Address
First Line	:	413 LILLY ROAD NE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506
Country	:	US
Telephone Number	:	360-493-7469
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 LILLY RD NE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-5133
Country	:	US
Telephone Number	:	360-493-7469
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	01/31/2024

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