Individual
WILLIAM DAVID GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
490 MURPHY RD, MEDFORD, OR 97504-8144
(541) 779-5227
(541) 779-1938
Mailing address
490 MURPHY RD, MEDFORD, OR 97504-8144
(541) 779-5227
(541) 779-1938
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP163162
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2010
Last updated
06/03/2013
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