Individual
ROBERT BROCK GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-1805
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
2008-01264
NC
390200000X
Student in an Organized Health Care Education/Training Program
150288
NC
Other
Enumeration date
06/19/2008
Last updated
09/07/2010
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