Individual
STEVEN D GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, STE 585A, SAINT LOUIS, MO 63141-8232
(314) 251-6478
(614) 251-5817
Mailing address
PO BOX 78429, SAINT LOUIS, MO 63178-8429
(314) 251-6478
(614) 251-5817
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R2F98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202217436
—
MO
Enumeration date
12/08/2005
Last updated
06/26/2008
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