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Individual

MARC WILLIAM GOODBOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1519 3RD ST SE, SUITE 210, PUYALLUP, WA 98372-3742
(253) 840-4994
(253) 770-1105
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60064004
WA
363AM0700X
Medical Physician Assistant
PA60064004
WA
363AM0700X
Medical Physician Assistant
PAC0119
ND
363AS0400X
Surgical Physician Assistant
Primary
PA60064004
WA

Other

Enumeration date
07/19/2006
Last updated
02/22/2016
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