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Individual

DR. JACOB B. GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
230-C EAST MAIN ST., GARDNER, KS 66030-1643
(913) 856-8150
(913) 856-8390
Mailing address
230-C EAST MAIN STREET, GARDNER, KS 66030-1643
(913) 856-8150
(913) 856-8390

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2006023557
MO
213E00000X
Podiatrist
MD2185
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
12-00358KS
KS

Other

Enumeration date
01/20/2006
Last updated
10/18/2012
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