# DALE E GOINS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063402485
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C5744 | AR | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080178792 | RAILROAD MEDICARE | — |
| 05 | — | 102-612-001 | — | AR |
| 01 | — | 14169000001 | QUAL CHOICE | — |
| 01 | — | 51920 | BLUE CROSS | — |
| 01 | — | 710614761 | TRICARE | — |