Individual
WANDA MARIE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
006318
AZ
208600000X
Surgery Physician
DR0053484
CO
208600000X
Surgery Physician
Primary
OP60511036
WA
390200000X
Student in an Organized Health Care Education/Training Program
OS014746
PA
Other
Enumeration date
12/23/2009
Last updated
03/21/2024
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