Organization
THOMAS P GOODELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PERRY GOODELL MD (PRESIDENT)
(307) 742-9940
Entity
Organization
Contact information
Practice address
3810 GRAND AVENUE, SUITE B, LARAMIE, WY 82070
(307) 742-9940
(307) 742-9946
Mailing address
3810 GRAND AVENUE, SUITE B, LARAMIE, WY 82070
(307) 742-9940
(307) 742-9946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6971A
WY
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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