Individual
BRENT F GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-3250
(712) 243-7587
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-3250
(712) 243-7587
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D127899
IA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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