Individual
KEITH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1608 ROAD 44, PASCO, WA 99301-2667
(509) 543-9820
(509) 545-6275
Mailing address
1608 ROAD 44, PASCO, WA 99301-2667
(509) 543-9820
(509) 545-6275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60946658
WA
Other
Enumeration date
03/24/2017
Last updated
01/15/2024
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