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Individual

TERESA LYNN GOEPFERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D. O.

Contact information

Practice address
1801 NW MARKET ST, 207, SEATTLE, WA 98107-3987
(206) 781-6161
(206) 781-6208
Mailing address
1801 NW MARKET ST, SUITE 207, SEATTLE, WA 98107-3987
(206) 781-6161
(206) 781-6208

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.123752
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
OP60125015
WA

Other

Enumeration date
04/16/2010
Last updated
10/28/2010
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