Individual
DR. WAYNE RUSSELL GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4927 NE TOLO RD, BAINBRIDGE ISLAND, WA 98110-3467
(650) 521-2770
Mailing address
4927 NE TOLO RD, BAINBRIDGE ISLAND, WA 98110-3467
(650) 521-2770
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
00044509
WA
207RH0003X
Hematology & Oncology Physician
G68658
CA
Other
Enumeration date
08/20/2010
Last updated
04/07/2024
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