Organization
PRIORITY 1 MEDICAL OF LAWRENCE PC
Active
Organization
PRIORITY 1 MEDICAL OF LAWRENCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES GOODE III (CHIROPRACTOR/OWNER)
(678) 357-2628
Entity
Organization
Contact information
Practice address
4082 PENDLETON WAY, INDIANAPOLIS, IN 46226-5224
(317) 546-1915
Mailing address
4082 PENDLETON WAY, INDIANAPOLIS, IN 46226-5224
(317) 546-1915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002007A
IN
111N00000X
Chiropractor
08002366A
IN
207R00000X
Internal Medicine Physician
Primary
01061150A
IN
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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