Individual
DR. DEBORAH VITTUM GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2031 N BUFFALO DR, LAS VEGAS, NV 89128-0269
(702) 383-3750
(702) 256-3231
Mailing address
9521 BOTTLE CREEK LN, LAS VEGAS, NV 89117-0501
(702) 363-7577
(702) 363-7577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9462
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019609
—
NV
Enumeration date
03/29/2006
Last updated
07/08/2007
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