Individual
DR. RONALD JEFFREY GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1201 S DOUGLAS BLVD, SUITE L, MIDWEST CITY, OK 73130-5239
(314) 239-3527
Mailing address
1201 S DOUGLAS BLVD, SUITE L, MIDWEST CITY, OK 73130-5239
(405) 736-9300
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4473
OK
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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