Individual
MELINDA EDMONSTON GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3010 N CIRCLE DR, #120, COLORADO SPRINGS, CO 80909-1182
(719) 264-1500
Mailing address
8918 ALPINE VALLEY DR, COLORADO SPRINGS, CO 80920-7315
(719) 282-0881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
#100
CO
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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