Individual
DANIEL ROBERT GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 RUCKER AVE, EVERETT, WA 98203-2215
(425) 382-4000
(425) 382-4001
Mailing address
4201 RUCKER AVE, EVERETT, WA 98203-2215
(425) 382-4000
(425) 382-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0023692
WA
207V00000X
Obstetrics & Gynecology Physician
MD0023692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8336307
—
WA
Enumeration date
11/17/2006
Last updated
05/18/2022
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