Individual
DR. PAUL GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1771 COMMERCIAL ST, WARSAW, MO 65355-3096
(604) 385-1936
Mailing address
815 MAIN ST STE A, PEORIA, IL 61602-1080
(309) 672-4977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.161746
IL
207Q00000X
Family Medicine Physician
Primary
2023028662
MO
Other
Enumeration date
04/16/2020
Last updated
07/17/2023
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