Individual
ROBERT F GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7300
(970) 247-5362
(970) 259-6045
Mailing address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7300
(970) 247-5362
(970) 259-6045
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23013
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
76-180
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01230135
—
CO
Enumeration date
04/18/2006
Last updated
06/22/2011
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