Individual
ADAM GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-8055
Mailing address
PO BOX 1827, MARION, OH 43301-1827
(740) 383-8022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33016201EG
OH
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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