Individual
DAVID GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 BOYLSTON ST, BRADFORD, PA 16701-2009
(814) 368-3123
Mailing address
PO BOX 159, BRADFORD, PA 16701-0159
(814) 368-3123
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD045174E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010900580002
—
PA
Enumeration date
05/26/2006
Last updated
02/05/2010
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