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Individual
DR. MARK QUINCY GOODMAN
Active
Individual
DR. MARK QUINCY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD160709
OR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD160709
OR
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
MD160709
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609018860
NPI
—
Enumeration date
04/01/2009
Last updated
03/30/2026
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