Individual
DR. THOMAS EARL GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3025 W CHERRY LN STE 205, MERIDIAN, ID 83642-8530
(208) 302-3500
(208) 302-3555
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M5214
ID
Other
Enumeration date
06/28/2006
Last updated
04/12/2024
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