Individual
MR. GEORGE ALLAN GOODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2635 CLEVELAND AVE, STE 2, SANTA ROSA, CA 95403-2981
(707) 575-4868
(707) 575-5870
Mailing address
2635 CLEVELAND AVE, STE 2, SANTA ROSA, CA 95403-2981
(707) 575-4868
(707) 575-5870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C28957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C28970
—
CA
Enumeration date
10/26/2005
Last updated
07/08/2007
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