Individual
THOMAS PERRY GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 BENEDICTA AVE, TRINIDAD, CO 81082-2099
(719) 846-2206
(719) 845-0663
Mailing address
400 BENEDICTA AVE, TRINIDAD, CO 81082-2099
(719) 846-2206
(719) 845-0663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46411
CO
207Q00000X
Family Medicine Physician
6971A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119222100
—
WY
05
—
822753335
—
CO
Enumeration date
10/06/2006
Last updated
04/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us