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Individual

DONALD B GOODFELLOW

Active
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Individual

DONALD B GOODFELLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-042252
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000206624
UNISON
OH
01
000000503676
ANTHEM
05
0512869
OH
01
363569
WELLCARE
OH
01
4007304
AETNA
01
738055
BUCKEYE
OH
01
P00011035
RAILROAD MEDICARE
OH
01
P00385113
RAILROAD MEDICARE
OH
Enumeration date
07/18/2006
Last updated
01/13/2021
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