Individual
STEPHANIE ANN GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-2600
(310) 301-6800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
W1420
TX
Other
Enumeration date
05/26/2018
Last updated
12/22/2025
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