Organization
JACK GOLMAN, MD
Active
Other names
Auburn Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JACK GOLDMAN M.D. (OWNER)
(253) 833-3650
Entity
Organization
Contact information
Practice address
803 MAIN ST E, AUBUN, WA 98002
(253) 833-3650
Mailing address
803 MAIN ST E, AUBUN, WA 98002
(253) 833-3650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00017877
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7054935
—
WA
Enumeration date
02/06/2007
Last updated
06/16/2008
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