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Individual

ROSS ELLIOTT GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(844) 549-0597
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(844) 549-0597

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0079003
MD
2084P0800X
Psychiatry Physician
MD042846
DC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101266109
VA

Other

Enumeration date
04/09/2013
Last updated
06/14/2021
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