Individual
DR. ROBERT W. GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 430-9555
Mailing address
45 MOHOULI ST, HILO, HI 96720-7210
(808) 430-9555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD16090
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8619108
—
WA
Enumeration date
10/04/2006
Last updated
03/22/2013
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