Individual
NATHAN GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
105 CLIFTON AVE., VALDEZ, AK 99686
(907) 835-7257
Mailing address
PO BOX 486, VALDEZ, AK 99686-0486
(907) 835-7257
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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