Individual
DR. SCOTT A. GOECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 952-4845
Mailing address
PO BOX 4083, BISMARCK, ND 58502-4083
(701) 426-8848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
46454
MN
207P00000X
Emergency Medicine Physician
8050
ND
207Q00000X
Family Medicine Physician
Primary
8050
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10780
—
ND
01
—
N712009
MEDICARE NUMBER
ND
Enumeration date
12/15/2005
Last updated
08/31/2011
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