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Individual

ADAM GOODALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 421-5558
(513) 632-5804
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2610
(513) 263-8571
(513) 366-4480

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.130644
OH
207Y00000X
Otolaryngology Physician
57.022088
OH

Other

Enumeration date
04/11/2012
Last updated
10/23/2020
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