Individual
C ALLEN GOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 LONGWOOD DRIVE, HUNTSVILLE, AL 35801
(256) 533-6488
(256) 533-6495
Mailing address
PO BOX 2324, BIRMINGHAM, AL 35201-2324
(256) 533-6488
(256) 533-6495
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00016767
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089821
—
AL
Enumeration date
10/20/2005
Last updated
05/31/2011
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