Individual
DR. CHARLES E GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14062 DENVER WEST PKWY, STE 150, LAKEWOOD, CO 80401-3109
(800) 893-9698
(303) 825-7927
Mailing address
14062 DENVER WEST PKWY, STE 150, LAKEWOOD, CO 80401-3109
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40945
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15805778
—
CO
Enumeration date
05/10/2006
Last updated
09/19/2018
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