Individual
DR. JASON EDWARD GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Mailing address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R1967
KY
Other
Enumeration date
03/29/2008
Last updated
06/11/2012
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