Individual
PETER LEWIS GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8220 MEADOWBRIDGE RD, SUITE 301, MECHANICSVILLE, VA 23116-2336
(804) 559-0423
(804) 559-1260
Mailing address
8220 MEADOWBRIDGE RD, SUITE 301, MECHANICSVILLE, VA 23116-2336
(804) 559-0423
(804) 559-1260
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101019253
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6022057
—
VA
Enumeration date
04/08/2006
Last updated
07/06/2010
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