Individual
STEVEN GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
(812) 353-3450
(812) 353-3451
Mailing address
PO BOX 1149, BLOOMINGTON, IN 47402-1149
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01071896A
IN
2084P0800X
Psychiatry Physician
2004016667
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201149960
—
IN
Enumeration date
10/11/2006
Last updated
11/14/2014
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