Individual
DR. RANDALL M. GOETHALS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5366
Mailing address
4896 KIPLING DR, CARMICHAEL, CA 95608-6274
(916) 482-3418
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G29134
CA
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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