Individual
MR. JEFFREY L GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8177 CLEARVISTA PKWY STE 100, INDIANAPOLIS, IN 46256-1662
(317) 621-7800
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005226A
IN
363A00000X
Physician Assistant
Primary
PA14333
CA
Other
Enumeration date
07/06/2006
Last updated
03/31/2026
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