Individual
MR. HARLEY LEE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1936 E SUNSHINE ST, STE B, SPRINGFIELD, MO 65804-1528
(417) 812-7576
(417) 812-7576
Mailing address
1936 E SUNSHINE, STE B, SPRINGFIELD, MO 65804
(417) 812-7576
(417) 812-7576
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2008028706
MO
Other
Enumeration date
06/30/2009
Last updated
03/08/2017
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