# GLENDA GOODWIN MD INC

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

## Provider details

- **NPI number:** 1699094706
- **Authorized official:** DR. GLENDA DARLENE GOODWIN M.D. (PRESIDENT)
- **Authorized official phone:** (916) 284-8848

## Contact information

- **Practice address:** 7811 LAGUNA BLVD, SUITE 216, ELK GROVE, CA 95758-7941
- **Practice address phone:** (916) 691-4300
- **Mailing address:** 8156 POLO CROSSE AVE, SACRAMENTO, CA 95829-6545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A71660 | CA | Yes |

## Other

- **Enumeration date:** 05/28/2010
- **Last updated:** 05/28/2010