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Individual
DR. JOHN RUSSELL GOOCH
Active
Individual
DR. JOHN RUSSELL GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
172394
CA
207P00000X
Emergency Medicine Physician
Primary
82256
GA
390200000X
Student in an Organized Health Care Education/Training Program
MT212019
PA
Other
Enumeration date
06/14/2016
Last updated
04/21/2021
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