Individual
BRENT E GOODSPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3733 SAN DIMAS ST, BAKERSFIELD, CA 93301-1407
(800) 353-5400
Mailing address
3733 SAN DIMAS ST, BAKERSFIELD, CA 93301-1407
(800) 353-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14960
CA
Other
Enumeration date
11/29/2006
Last updated
12/03/2021
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