Individual
DR. WILLIAM GOODRIDGE SALE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 343-4583
(304) 343-9207
Mailing address
100 TRACY WAY, CHARLESTON, WV 25311-1257
(304) 343-4583
(304) 343-9207
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12439
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009333000
—
WV
Enumeration date
03/07/2006
Last updated
04/16/2013
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