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Individual

JAMES CHRISTOPHER GOETZ

Active
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Individual

JAMES CHRISTOPHER GOETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17206
WV
207R00000X
Internal Medicine Physician
Primary
49116
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0075599000
WV
05
0921462
OH
01
110072402
RAILROAD MEDICARE
Enumeration date
06/09/2006
Last updated
10/25/2021
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