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Individual

AUDREY GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1700 RENAISSANCE BLVD, EDMOND, OK 73013-3022
(405) 844-4300
(405) 844-4333
Mailing address
5300 N. INDEPENDENCE, SUITE 280, OKLAHOMA CITY, OK 73112
(405) 844-4300
(405) 844-4333

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29248
OK
208000000X
Pediatrics Physician
29248
OK

Other

Enumeration date
05/29/2012
Last updated
07/14/2017
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