Individual
DR. MAX H GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 BRANSON LANDING BLVD, STE. 100, BRANSON, MO 65616-4500
(417) 335-7555
Mailing address
545 BRANSON LANDING BLVD, STE. 100, BRANSON, MO 65616-4500
(417) 335-7555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009017627
MO
207Q00000X
Family Medicine Physician
31623
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851350052
—
MO
Enumeration date
03/17/2006
Last updated
09/12/2012
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