Individual
DR. CHARLES D GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 DES MOINES ST STE 100, DES MOINES, IA 50309-5507
(515) 643-4915
(515) 643-8804
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-4915
(515) 643-8804
Taxonomy
Speciality
Code
Description
License number
State
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
Primary
MD-37356
IA
2086X0206X
Surgical Oncology Physician
37356
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000427000
—
WV
01
—
238018
MIDLANDS CHOICE
IA
01
—
58226
WELLMARK BLUE SHIELD
IA
05
—
NPI #
—
IA
Enumeration date
10/03/2006
Last updated
01/17/2023
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