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Individual

MARTIN HALMES GOODENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29030
NE
2085R0202X
Diagnostic Radiology Physician
6499
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29030
STATE OF NE MEDICAL LICENSE
NE
Enumeration date
06/18/2011
Last updated
05/08/2017
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