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Jeffrey J Goon, PA-C
Medical Physician Assistant in Renton, Washington
NPI 1407968670

Jeffrey J Goon is a Medical Physician Assistant based in Seattle, WA and is specialized in Medical. Jeffrey J Goon practices in Renton, WA and has the professional credentials of PA-C. The NPI Number for Jeffrey J Goon is 1407968670 and holds a License No. PA10003631 (Washington).

The current practice location address for Jeffrey J Goon is 400 S 43Rd St, Renton, WA and can be reached out via phone at 425-228-3450.

Location: 400 S 43Rd St, Renton, WA, 98124-0584
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Provider Profile Details
NPI Number
1407968670
Provider Name
Jeffrey J Goon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 S 43Rd St, Renton, WA, 98124-0584
Phone Number
425-228-3450
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5231GO 01 WA REGENCE B/S PROV #
137157 01 WA LABOR&INDUSTRIES PROV #
institution
Provider Business Practice Location Address Details
Address
400 S 43Rd St
City
State
Zip
98055-5714
Phone Number
425-228-3450
Fax Number
person
Provider Business Mailing Address Details
Address
400 S 43Rd St
City
State
Zip
98055-5714
Phone Number
425-228-3450
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10003631 (Washington)
Definition
Definition to come...
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