Individual
DR. ELI NATHAN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 NORTHSIDE HIGH SCHOOL RD, ROANOKE, VA 24019-2825
(540) 561-6615
Mailing address
6600 NORTHSIDE HIGH SCHOOL RD, ROANOKE, VA 24019-2825
(540) 561-6615
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101255858
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A117798
CA
Other
Enumeration date
12/10/2012
Last updated
06/08/2015
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