Organization
THOMAS F. GOODALL, D. O., INC.
Active
Organization
THOMAS F. GOODALL, D. O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FREDERICK GOODALL D.O. (PRESIDENT)
(937) 723-3525
Entity
Organization
Contact information
Practice address
425 W GRAND AVE, SUITE 3003, DAYTON, OH 45405-4775
(937) 226-7890
(937) 461-4156
Mailing address
425 W GRAND AVE, SUITE 3003, DAYTON, OH 45405-4775
(937) 226-7890
(937) 461-4156
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
34002454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070362
ANTHEM
—
05
—
0457858
—
OH
01
—
0620007
UNITED HEALTHCARE
—
01
—
123879100
FEDERAL BWC
—
05
—
64044050
—
KY
Enumeration date
02/24/2014
Last updated
02/24/2014
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