Individual
JOHN M GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1052
(505) 896-8600
(505) 896-8612
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125-7829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
97250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57205
—
NM
Enumeration date
07/11/2006
Last updated
09/11/2024
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