Individual
DANIEL M GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 VICTOR AVE, SUITE A, REDDING, CA 96003-4856
(530) 605-4557
(530) 605-4531
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 605-4557
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G063650
CA
Other
Enumeration date
11/10/2006
Last updated
12/03/2012
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