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Individual

SEAN NICHOLAS GOETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11216 SUNRISE BLVD E STE 3-201, PUYALLUP, WA 98374-8848
(253) 770-3700
(253) 435-7019
Mailing address
3209 S 23RD ST STE 200, TACOMA, WA 98405-1602
(253) 272-5127
(253) 404-0506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61610050
WA

Other

Enumeration date
06/02/2023
Last updated
11/06/2024
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