Individual
JEREMY W GODSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 S 13TH ST, MOUNT VERNON, WA 98274-4107
(360) 336-2178
(360) 336-1995
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD61541460
WA
Other
Enumeration date
05/08/2019
Last updated
08/27/2024
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