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Individual

JUSTIN GOODEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10346 E STONEGATE LN STE 100, WICHITA, KS 67206-2054
(316) 871-0995
Mailing address
10346 E STONEGATE LN STE 100, WICHITA, KS 67206-2054
(316) 871-0995

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
04-36002
KS
208D00000X
General Practice Physician
04-36002
KS

Other

Enumeration date
04/28/2011
Last updated
05/21/2025
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