Individual
DR. ROGER GOOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6305 POWERS BLVD, MAC 4, PARMA, OH 44129
(440) 743-4333
(440) 743-2421
Mailing address
6305 POWERS BLVD, MAC 4, PARMA, OH 44129-4322
(440) 743-4333
(440) 743-2421
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.092470
OH
208VP0000X
Pain Medicine Physician
Primary
35.092470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051150
—
OH
Enumeration date
09/01/2007
Last updated
12/17/2020
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