Brian Earl Goody PA

NPI 1205188786 - Physician Assistant - 363AM0700X

NPI Details
NPI 1205188786
Gender Male
Enumeration Date 10/09/2012
Last Updated 10/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
ABERDEEN WA, 98520-1006, US
Phone (360) 537-6120
Business Location
10612 PARK AVE S
TACOMA WA, 98444-5864, US
Phone (360) 584-6775
Taxonomy Code 363AM0700X
License State Washington
License Number PA.60316095
Remove 1205188786 NPI Number

According to our database, Brian Earl Goody PA NPI is 1205188786, taxonomy code is 363AM0700X and license number is PA.60316095, license state is located at Washington. Brian Earl Goody PA physically located at 915 Anderson Dr, Aberdeen WA, 98520-1006. NPI Number Brian Earl Goody PA has the Individual type.

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1205188786 NPI number is provided on an as is basis without warranty of any kind. 1205188786 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Earl Goody PA are for informational purposes only.