Dennis Stephen Goodman in Rolla - Geriatric Medicine
Dennis Stephen Goodman - NPI 1720169709
Dennis Stephen Goodman is a Geriatric Medicine in Rolla, Missouri. Dennis Stephen Goodman practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Dennis Stephen Goodman is 1720169709. The last update date is 2008-02-22.
Dennis Stephen Goodman's current location address is 715 St Rt Cc, Rolla, Missouri. You can contact this provider via phone number 5733087386 and fax number 5733415300. The mailing address for Dennis Stephen Goodman is 715 St Rt Cc, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Stephen Goodman |
|---|---|
| Address | 715 St Rt Cc, Rolla, Missouri |
| Phone Number | 5733087386 |
| Fax Number | 5733415300 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1720169709 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
| Address | 715 St Rt Cc |
|---|---|
| City | Rolla |
| State | Missouri (MO) |
| Post Code | 65401 |
| Phone Number | 5733087386 |
| Fax Number | 5733415300 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | RSB71 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80052033 | MO | RAILROAD MEDICARE | |
| 241605948 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dennis Stephen Goodman?
The Dennis Stephen Goodman has been issued the NPI (National Provider Identifier) 1720169709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Dennis Stephen Goodman?
The Dennis Stephen Goodman is situated at 715 St Rt Cc, in the city of Rolla, state of MO, with the zip code 65401.
What is the Dennis Stephen Goodman's area of specialization and corresponding taxonomy classification?
The Dennis Stephen Goodman's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Qg0300X, which categorizes healthcare providers based on their specialties.
On what date was the 1720169709 assigned to Dennis Stephen Goodman?
The Dennis Stephen Goodman was issued its 1720169709 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dennis Stephen Goodman most recently updated or revised?
The information pertaining to Dennis Stephen Goodman, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-22.
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