Individual
ROBERT EMORY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 JORDAN ST, SHREVEPORT, LA 71101-4616
(318) 424-9240
(318) 424-0022
Mailing address
740 JORDAN ST, SHREVEPORT, LA 71101-4616
(318) 424-9240
(318) 424-0022
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
15562
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110043608
RAILROAD MEDICARE
LA
05
—
1348465
—
LA
Enumeration date
11/17/2005
Last updated
07/14/2011
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