Individual
MARY K GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1169 SOUTHWIND DR, JUNCTION CITY, KS 66441-2644
(785) 350-4670
(785) 350-4688
Mailing address
1169 SOUTHWIND DR, JUNCTION CITY, KS 66441-2644
(785) 350-4670
(785) 350-4688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28298
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370220E
—
KS
Enumeration date
11/25/2005
Last updated
08/30/2023
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