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Individual

DAVID L GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 S CLARKSON, SUITE 200, ENGLEWOOD, CO 80113-3946
(303) 761-4343
(303) 761-0943
Mailing address
3601 S CLARKSON, SUITE 200, ENGLEWOOD, CO 80113-3946
(303) 761-4343
(303) 761-0943

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
31598
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01315985
CO
Enumeration date
11/29/2005
Last updated
09/28/2011
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