Individual
MR. DONALD BURGESS GOODBRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5108 SILVER LN, APISON, TN 37302-9593
(406) 495-0141
Mailing address
PO BOX 351, COLLEGEDALE, TN 37315-0351
(406) 495-0141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000034754
TN
367500000X
Certified Registered Nurse Anesthetist
RN29818
MT
367500000X
Certified Registered Nurse Anesthetist
RN37535
TN
Other
Enumeration date
08/31/2006
Last updated
11/27/2023
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