Organization
GOODWIN FOOT & ANKLE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HERBERT GOODWIN DPM (SOLE MEMBER/CEO)
(304) 905-0590
Entity
Organization
Contact information
Practice address
3500 JACOB ST, WHEELING, WV 26003-1934
(304) 905-0590
(304) 905-9458
Mailing address
PO BOX 6130, WHEELING, WV 26003-0711
(304) 905-0590
(304) 905-9458
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00377
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012712
—
WV
Enumeration date
12/05/2007
Last updated
07/28/2016
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