Individual
DR. SCOTT T GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32996
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01329960
—
CO
01
—
019386
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/30/2005
Last updated
04/26/2021
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