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Individual

WILLIAM FORREST GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-1818
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-1818

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-08910
KS
363A00000X
Physician Assistant

Other

Enumeration date
11/08/2007
Last updated
07/21/2022
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