Individual
MR. GENS PIERCE GOODMAN
Active
Individual
MR. GENS PIERCE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
008428
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0102203806
VA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
803
NE
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
A-2015-16
NM
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
H77332
MD
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Q2772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088219
—
AZ
Enumeration date
02/24/2011
Last updated
01/06/2023
Update your record
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