Individual
DR. MATTHEW LAWRENCE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110-1032
(314) 514-3500
(314) 878-7678
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 514-3500
(314) 878-7678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2019022449
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2019022449
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072631
—
MO
Enumeration date
04/24/2013
Last updated
04/17/2025
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