Individual
DACIA RUSSELL GOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
Mailing address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.133365
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/03/2015
Last updated
03/15/2024
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