Marc William Goodboy in Puyallup - Surgical
Marc William Goodboy - NPI 1790704815
Marc William Goodboy is a Surgical in Puyallup, Washington. Marc William Goodboy practices all healthcare services and medical treatments related to Surgical. The NPI Number for Marc William Goodboy is 1790704815. The last update date is 2016-02-22.
Marc William Goodboy's current location address is 1519 3rd St Se, Puyallup, Washington. You can contact this provider via phone number 2538404994 and fax number 2537701105. The mailing address for Marc William Goodboy is 1519 3rd St Se, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc William Goodboy |
|---|---|
| Address | 1519 3rd St Se, Puyallup, Washington |
| Phone Number | 2538404994 |
| Fax Number | 2537701105 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1790704815 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2016-02-22 |
Provider Mailing Address Detail
| Address | 1519 3rd St Se |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983723742 |
| Phone Number | 2538404994 |
| Fax Number | 2537701105 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA60064004 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the Marc William Goodboy's 1790704815?
The Marc William Goodboy's NPI (National Provider Identifier) Number is 1790704815. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Marc William Goodboy located?
The Marc William Goodboy is located at 1519 3Rd St Se, Puyallup, WA 983723742.
What is the area of specialization for Marc William Goodboy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marc William Goodboy is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790704815 to Marc William Goodboy?
The Marc William Goodboy received its 1790704815 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information pertaining to Marc William Goodboy most recently updated or revised?
The details related to Marc William Goodboy, including its address, specialty, and other relevant information, were last updated or revised on 2016-02-22.
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