Individual
DAVID MARKUS GOODRICH
Active
Individual
DAVID MARKUS GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12279
TN
367500000X
Certified Registered Nurse Anesthetist
RN99907
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3636921
—
TN
01
—
4137595
BCBS OF TN
TN
01
—
P00371821
RAILROAD MEDICARE
—
Enumeration date
10/24/2006
Last updated
06/09/2011
Update your record
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