Individual
DR. THOMAS FRED GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7410 S MACARTHUR BLVD, OKLAHOMA CITY, OK 73169-6908
(405) 680-4074
(405) 680-4035
Mailing address
7410 S MACARTHUR BLVD, OKLAHOMA CITY, OK 73169-6908
(405) 680-4074
(405) 680-4035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12260
OK
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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