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Individual

RUTH A GO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2700
(206) 215-3101
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61273669
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2210580
WA
Enumeration date
04/20/2015
Last updated
07/25/2022
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