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Individual

DONALD TERRENCE GODBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3916 STATE ST, EMERGENCY DEPARTMENT, SANTA BARBARA, CA 93105-5602
(800) 563-3000
Mailing address
1883 GIBBS AVE, ATWATER, CA 95301-8469
(209) 358-3701

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A51364
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A513640
CA
Enumeration date
04/10/2006
Last updated
11/19/2013
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