Individual
ROGER R. GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 N KEENE ST, SUITE 101, COLUMBIA, MO 65201-8131
(573) 499-9995
Mailing address
PO BOX 951339, DALLAS, TX 75395-1339
(940) 270-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L0217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148449501
—
TX
Enumeration date
05/01/2006
Last updated
12/18/2020
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