Individual
DR. DAVID H GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1202 W. CHEROKEE ST, STE E, WAGONER, OK 74467
(918) 485-1877
(918) 485-0535
Mailing address
1200 W. CHEROKEE ST., WAGONER, OK 74467
(918) 485-5514
(918) 485-0535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2864
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200569380A
—
OK
Enumeration date
02/25/2014
Last updated
01/25/2017
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