Individual
JEFFREY GOODHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6119 MIDTOWN AVE STE 101, LITTLE ROCK, AR 72205-5316
(501) 404-8007
(501) 904-3620
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 404-8007
(501) 904-3620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R088752
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
121830
AR
Other
Enumeration date
12/10/2013
Last updated
11/22/2024
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