Individual
BRIAN GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6151 S YALE AVE STE 2403, TULSA, OK 74136-1907
(918) 494-1710
(918) 494-1715
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
109660
OK
Other
Enumeration date
10/30/2018
Last updated
06/02/2020
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