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Individual

DR. DEREK R GOODYEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
200 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.012825
OH
207R00000X
Internal Medicine Physician
DR.0063620
CO
207R00000X
Internal Medicine Physician
OS017874
PA
208M00000X
Hospitalist Physician
Primary
DR.0063620
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029013
KAISER COMMERCIAL NUMBER
CO
Enumeration date
05/23/2014
Last updated
04/27/2021
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