Individual
DR. DANIEL P GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 COPPERFIELD BLVD NE, SUITE 102, CONCORD, NC 28025-2441
(704) 786-6521
(704) 782-9703
Mailing address
270 COPPERFIELD BLVD NE, SUITE 102, CONCORD, NC 28025-2441
(704) 786-6521
(704) 782-9703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200401503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457370199
—
VA
Enumeration date
07/19/2006
Last updated
10/28/2008
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