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Individual

MICHAEL D GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
715 S COWLEY ST STE 210, SPOKANE, WA 99202-1383
(509) 473-6706
(509) 473-6704
Mailing address
PO BOX 2185, SPOKANE, WA 99210-2185
(509) 473-6706
(509) 473-6704

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
3786
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP60881566
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
840224
AZ
Enumeration date
06/07/2006
Last updated
09/20/2018
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