Individual
DR. J. DAVID GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICINE DR, CLARKSVILLE, AR 72830-4431
(479) 754-6510
(479) 754-5644
Mailing address
PO BOX 440, CLARKSVILLE, AR 72830-0440
(479) 754-6510
(479) 754-5644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C6030
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51937
BCBS OF ARK.
AR
Enumeration date
06/22/2006
Last updated
07/08/2007
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