Individual
MARJORIE MILLARD GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3600 E ALAMEDA AVE STE 100, DENVER, CO 80209-3135
(720) 266-6789
Mailing address
408 S HUMBOLDT ST, DENVER, CO 80209-2533
(303) 995-1736
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2084
CO
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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