Provider Demographics
NPI:1922050871
Name:SCHOLES, GARY NEAL (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:NEAL
Last Name:SCHOLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:411 WESTHAMPTON LN SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-9480
Mailing Address - Country:US
Mailing Address - Phone:360-866-8123
Mailing Address - Fax:360-456-3894
Practice Address - Street 1:345 COLLEGE ST SE
Practice Address - Street 2:SUITE C
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1014
Practice Address - Country:US
Practice Address - Phone:360-456-3200
Practice Address - Fax:360-456-3894
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VAMD00028728207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG001045505OtherPTAN
WAG001045505OtherPTAN