Individual
DR. ALISHA GOODRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 MISSION ST STE 800, SAN FRANCISCO, CA 94105-1744
(415) 231-5333
(415) 231-5332
Mailing address
101 MISSION ST STE 800, SAN FRANCISCO, CA 94105-1744
(415) 231-5333
(415) 231-5332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
079346
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
079346
GA
Other
Enumeration date
05/29/2014
Last updated
09/07/2023
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