Individual
DR. JAMES LLOYD GOODGE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
105 W OHARA ST, MC DONALD, PA 15057-1441
(724) 926-2131
Mailing address
105 W OHARA ST, MC DONALD, PA 15057-1441
(724) 926-2131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009323
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08930F22
—
PA
01
—
1666783
BLUE CROSS
PA
Enumeration date
07/05/2006
Last updated
07/08/2007
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