Individual
DR. IAN P GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27449
NE
207X00000X
Orthopaedic Surgery Physician
Primary
39030
OK
207X00000X
Orthopaedic Surgery Physician
ME133594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14123871
CAQH
—
Enumeration date
03/29/2012
Last updated
05/11/2022
Update your record
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