Individual
DR. BRADLEY G GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 750-0323
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0125
(479) 750-0323
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
47546
TN
2084P0800X
Psychiatry Physician
E-7396
AR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
E-7396
AR
Other
Enumeration date
07/03/2007
Last updated
07/18/2012
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