Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD60979009 | WA |
NPI | 1003346271 |
---|---|
Provider Name | Anna Eleanor Goebel |
First Address | San Francisco, CA 94111-3723 |
Second Address | Seattle, WA 98101-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2017 |
Last Update Date | 01/10/2020 |