# R. GRANT GOODWIN, D.C,, INC

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

## Provider details

- **NPI number:** 1447799176
- **Authorized official:** DR. ROBERT GRANT GOODWIN D.C. (PRESIDENT)
- **Authorized official phone:** (937) 974-8879

## Contact information

- **Practice address:** 1 ELIZABETH PL, 280, DAYTON, OH 45417-3445
- **Practice address phone:** (937) 952-6567
- **Practice address fax:** (937) 660-4066
- **Mailing address:** 1115 BONNIEBROOK DR, MIAMISBURG, OH 45342-6406
- **Mailing address phone:** (937) 974-8879
- **Mailing address fax:** (937) 660-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 02/14/2017
