Individual
DAVID MARKUS GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1218 N MAIN ST, PUEBLO, CO 81003-2828
(719) 543-7877
(719) 543-7882
Mailing address
1218 N MAIN ST, PUEBLO, CO 81003-2828
(719) 543-7877
(719) 543-7882
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us