Individual
DR. ERNESTO DATOC GOLEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 416-6735
Mailing address
1812 BAKERVIEW COURT, MOUNT VERNON, WA 98274-6497
(360) 630-3976
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
60391417
WA
Other
Enumeration date
06/11/2011
Last updated
12/17/2020
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