Individual
DR. ROBERT GRANT GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4130 LINDEN AVE STE 125, DAYTON, OH 45432-3073
(937) 221-9387
(937) 660-4066
Mailing address
4130 LINDEN AVE STE 125, DAYTON, OH 45432-3073
(937) 221-9387
(937) 660-4066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0994081
—
OH
01
—
311725337027
CARESOURCE
—
Enumeration date
02/07/2006
Last updated
05/07/2024
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