Goodboy, Marc William

Goodboy, Marc William is an individual health care provider with primary practice located at 1519 3Rd St Se Suite 210, Puyallup WA 98372-3742. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Goodboy, Marc William can be contacted via phone (253) 840-4994.

Contact Information

Primary practice address
1519 3Rd St Se Suite 210 Puyallup WA 98372-3742
Phone: (253) 840-4994
Fax: (253) 770-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0119 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60064004 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60064004 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60064004 Washington

Profile Details

NPI number 1790704815
LBN Legal business name Goodboy, Marc William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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