Individual
DR. SARAH L GOOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-4431
Mailing address
211 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-4431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6050
MT
207Q00000X
Family Medicine Physician
M-12651
ID
207Q00000X
Family Medicine Physician
Primary
MD205034
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097605
BCBS
MT
05
—
0082620
—
MT
Enumeration date
09/22/2006
Last updated
04/27/2015
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