Individual
MARK GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4777 E GALBRAITH RD, INTERNAL MEDICINE, CINCINNATI, OH 45236-2725
(513) 266-2404
(513) 398-9198
Mailing address
4777 E GALBRAITH RD, INTERNAL MEDICINE, CINCINNATI, OH 45236-2725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002786
OH
363AM0700X
Medical Physician Assistant
Primary
50.002786
OH
Other
Enumeration date
04/09/2009
Last updated
08/23/2020
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