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Organization
GOODRUM MEDICAL SERVICES LLC
Active
Organization
GOODRUM MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA GOODRUM DO (PHYSICIAN)
(727) 350-4609
Entity
Organization
Contact information
Practice address
1806 ASHLAND ST, ASHLAND, OR 97520-2331
(724) 350-4609
Mailing address
2280 OLD HIGHWAY 99 S, ASHLAND, OR 97520-8738
(727) 350-4609
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
08/24/2022
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