Organization
GLENDA GOODWIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA DARLENE GOODWIN M.D. (PRESIDENT)
(916) 284-8848
Entity
Organization
Contact information
Practice address
7811 LAGUNA BLVD, SUITE 216, ELK GROVE, CA 95758-7941
(916) 691-4300
Mailing address
8156 POLO CROSSE AVE, SACRAMENTO, CA 95829-6545
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A71660
CA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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