Individual
BRIAN EARL GOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
915 ANDERSON DR, ABERDEEN, WA 98520-1006
(360) 537-6120
Mailing address
10612 PARK AVE S, TACOMA, WA 98444-5864
(360) 584-6775
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.60316095
WA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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