Individual
JEAN RICCI GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 499-6041
(573) 499-6091
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2021042455
MO
207VM0101X
Maternal & Fetal Medicine Physician
036130359
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2021042455
MO
Other
Enumeration date
03/09/2006
Last updated
07/16/2024
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