Individual
DAVID AARON GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
(870) 732-1191
(870) 732-4091
Mailing address
108 W TYLER AVE, WEST MEMPHIS, AR 72301-4221
(870) 732-1191
(870) 732-4091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-0948
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129454001
—
AR
Enumeration date
08/10/2005
Last updated
11/21/2016
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