Individual
CRISTINE LORRAINE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1428 S MAIN ST STE 4, OTTAWA, KS 66067-3547
(785) 229-8882
(785) 229-8883
Mailing address
1301 S MAIN ST, OTTAWA, KS 66067-3598
(785) 229-3367
(785) 229-8416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33547
KS
Other
Enumeration date
04/18/2007
Last updated
04/17/2018
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