Individual
DAVID A GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9900510
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891233X
—
NC
Enumeration date
07/20/2005
Last updated
10/01/2025
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