Individual
JOHN O GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3602 S 19TH STREET, TACOMA, WA 98405
(253) 759-5555
(253) 830-5420
Mailing address
3602 S 19TH STREET, TACOMA, WA 98405
(253) 759-5555
(253) 830-5420
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070234
—
WA
Enumeration date
07/07/2006
Last updated
01/12/2012
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