# RICHMOND FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1851698112
- **Authorized official:** DR. DANIEL MILLETT GOODYEAR M.D. (MD/OWNER)
- **Authorized official phone:** (802) 578-8058

## Contact information

- **Practice address:** 30 W. MAIN ST., RICHMOND, VT 05477
- **Practice address phone:** (802) 434-4123
- **Practice address fax:** (802) 434-3130
- **Mailing address:** 30 W MAIN ST, RICHMOND, VT 05477-4479
- **Mailing address phone:** (802) 434-4123
- **Mailing address fax:** (802) 434-3130

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2011
- **Last updated:** 09/05/2019