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Shane Brent Goller, MD
Emergency Medicine Physician in Tacoma, Washington
NPI 1487188652

Shane Brent Goller is a Emergency Medicine Physician based in Joint Base Lewis Mcchord, WA. Shane Brent Goller practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Shane Brent Goller is 1487188652 and holds a License No. 0101265466 (Washington).

The current practice location address for Shane Brent Goller is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-477-0838.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487188652
Provider Name
Shane Brent Goller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-1101
Phone Number
253-477-0838
Fax Number
Provider Enumeration Date
04/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-1100
Phone Number
253-477-0838
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-1100
Phone Number
253-477-0838
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
0101265466 (Virginia)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101265466 (Virginia)
Definition
Definition to come...
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