Individual
DR. DANIEL MILLETT GOODYEAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 WEST MAIN STREET, RICHMOND, VT 05477
(802) 434-4123
Mailing address
P.O. BOX 1015, 30 WEST MAIN STREET, RICHMOND FAMILY MEDICINE, RICHMOND, VT 05477
(802) 434-4123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420011533
VT
Other
Enumeration date
03/31/2007
Last updated
08/25/2011
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