Individual
ROBERT J GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD CST
Contact information
Practice address
1930 MESQUITE AVE STE 2, LAKE HAVASU CITY, AZ 86403-5772
(928) 854-7962
(928) 854-7963
Mailing address
1930 MESQUITE AVE STE 2, LAKE HAVASU CITY, AZ 86403-5772
(928) 854-7962
(928) 854-7963
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
16984
AZ
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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