# GOODING FAMILY PHYSICIANS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396804415
- **Authorized official:** MRS. TRUDY MCGINNIS (BILLING)
- **Authorized official phone:** (208) 934-4446

## Contact information

- **Practice address:** 134 4TH AVE W, GOODING, ID 83330
- **Practice address phone:** (208) 934-4446
- **Practice address fax:** (208) 934-4442
- **Mailing address:** 134 4TH AVE W, GOODING, ID 83330
- **Mailing address phone:** (208) 934-4446
- **Mailing address fax:** (208) 934-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 10/03/2012