Individual
STEPHEN GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-2537
(573) 882-9269
Mailing address
1100 VIRGINIA AVENUE, COLUMBIA, MO 65212-0001
(573) 882-9269
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4351047060
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2020
Last updated
06/26/2025
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