Individual
BRIAN WAYNE GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24705 142ND AVE SE, KENT, WA 98042-5152
(253) 631-6154
Mailing address
24705 142ND AVE SE, KENT, WA 98042-5152
(253) 631-6154
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD00011813
WA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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