Basic Information
| Provider Information | |||||||||
| NPI: | 1679847370 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIERL | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | R. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 203 W 8TH AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | KENNEWICK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 993365630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095866445 | ||||||||
| FaxNumber: | 5095865183 | ||||||||
| Practice Location | |||||||||
| Address1: | 203 W 8TH AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | KENNEWICK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 993365630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095866445 | ||||||||
| FaxNumber: | 5095865183 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2012 | ||||||||
| LastUpdateDate: | 03/15/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | MD 00034664 | WA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.