Individual
RUTH C GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MANOR DR, DANVILLE, IN 46122-9401
(317) 745-2350
Mailing address
1 MANOR DR, DANVILLE, IN 46122-9401
(317) 745-2350
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01029055A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133280A
—
IN
05
—
100133280B
—
IN
Enumeration date
01/17/2006
Last updated
04/28/2014
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