Basic Information
Provider Information
NPI: 1003346271
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GOEBEL
FirstName: ANNA
MiddleName: ELEANOR
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 EMBARCADERO CTR STE 1900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941113723
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber:  
Practice Location
Address1: 211 PIKE ST FL 8
Address2:  
City: SEATTLE
State: WA
PostalCode: 981012107
CountryCode: US
TelephoneNumber: 2062674390
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2017
LastUpdateDate: 10/01/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/01/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD60979009WAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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