Individual
DR. ROY LOUIS GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2345 NORTHPARK DRIVE, COLUMBUS, IN 47203
(812) 372-8293
(812) 378-2042
Mailing address
2345 NORTHPARK DRIVE, COLUMBUS, IN 47203
(812) 372-8293
(812) 378-2042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032770
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10782215
CAQH
IN
05
—
20000174D
—
IN
Enumeration date
07/28/2006
Last updated
07/25/2008
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