Dr. Wayne Russell Godfrey, MD
Internal Medicine, Hematology & Oncology in Bainbridge Island, WA. Individual provider (NPI-1).
NPI number1124334792
StatusActive
Last updated in NPPESApr 7, 2024
Details
- NPI
- 1124334792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wayne Russell Godfrey
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2010
- Certification date
- Apr 7, 2024
- Last updated
- Apr 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 00044509 | WA | Yes |
| 207RH0003X | Internal Medicine, Hematology & Oncology | G68658 | CA |
Practice location
4927 Ne Tolo RdBainbridge Island, WA 98110-3467
Phone 650-521-2770
Mailing address
4927 Ne Tolo RdBainbridge Island, WA 98110-3467
Phone 650-521-2770
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