Individual
GARY M GOLDBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3020 RUCKER AVE, EVERETT, WA 98201-3900
(425) 339-5210
(425) 339-5216
Mailing address
3020 RUCKER AVE, EVERETT, WA 98201-3900
(425) 339-5210
(425) 339-5216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8106411
—
WA
Enumeration date
01/23/2007
Last updated
07/09/2007
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