Individual
JODI A. GOLDSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 239-4431
(515) 239-4742
Mailing address
1215 DUFF AVE, PO BOX 3014, AMES, IA 50010-5400
(515) 239-4431
(515) 239-4742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28187
SC
207R00000X
Internal Medicine Physician
39260
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281876
—
SC
01
—
P00648640
RAILROAD MEDICARE ID
SC
01
—
P00754368
RAILROAD MC ID-RSFPN
SC
Enumeration date
10/11/2006
Last updated
08/15/2012
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