Individual
ENRIQUE GODINEZ MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66530 AULT DRIVE, ST CLAIRSVILLE, OH 43950-8154
(740) 632-0689
Mailing address
66530 AULT DRIVE, ST CLAIRSVILLE, OH 43950-8154
(740) 632-0689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35037589
OH
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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