Individual
DALE E GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 E 20TH ST, HOPE, AR 71801-8217
(870) 777-8975
(870) 777-8294
Mailing address
PO BOX 1447, HOPE, AR 71802-1447
(870) 777-8475
(870) 777-8294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080178792
RAILROAD MEDICARE
—
05
—
102-612-001
—
AR
01
—
14169000001
QUAL CHOICE
—
01
—
51920
BLUE CROSS
—
01
—
710614761
TRICARE
—
Enumeration date
10/26/2005
Last updated
07/08/2007
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