Individual
MATTHEW S GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1207 W STATE ST, SUITE N, ALLIANCE, OH 44601-4686
(330) 821-3244
(330) 680-4110
Mailing address
1207 W STATE ST, SUITE N, ALLIANCE, OH 44601-4686
(330) 821-3244
(330) 680-4110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15946-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105804
—
OH
Enumeration date
06/09/2014
Last updated
06/20/2023
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