Individual
DR. HEATHER ROSE GODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
819 N 1ST ST, DENNISON, OH 44621-1003
(740) 922-2800
(740) 922-6945
Mailing address
447 MALVERN RD, AKRON, OH 44303-1737
(330) 867-2437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-086005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2588105
—
OH
Enumeration date
06/22/2006
Last updated
07/08/2007
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