Individual
COURTNEY LEIGH GOETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 HIGH ST STE 4001, WILLIAMSPORT, PA 17701-3111
(570) 321-2345
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-48013
IA
207Q00000X
Family Medicine Physician
Primary
MD475077
PA
207Q00000X
Family Medicine Physician
R-11217
IA
Other
Enumeration date
06/11/2018
Last updated
08/16/2023
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