J. David Goodman in Clarksville - Surgery

J. David Goodman - NPI 1023054467

J. David Goodman is a Surgery in Clarksville, Arkansas. J. David Goodman practices all healthcare services and medical treatments related to Surgery. The NPI Number for J. David Goodman is 1023054467. The last update date is 2007-07-08.

J. David Goodman's current location address is Po Box 440, Clarksville, Arkansas. You can contact this provider via phone number 4797546510 and fax number 4797545644. The mailing address for J. David Goodman is Po Box 440, Clarksville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name J. David Goodman
Address Po Box 440, Clarksville, Arkansas
Phone Number 4797546510
Fax Number 4797545644
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023054467
Provider Enumeration Date 2006-06-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 440
City Clarksville
State Arkansas (AR)
Post Code 728300440
Phone Number 4797546510
Fax Number 4797545644

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No C6030
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51937 AR BCBS OF ARK.

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FAQs about J. David Goodman

What is the unique 10-digit identification code assigned to J. David Goodman by the Centers for Medicare & Medicaid Services?

The J. David Goodman has been issued the NPI (National Provider Identifier) 1023054467, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the J. David Goodman's physical address?

The J. David Goodman is physically located at Po Box 440, in the city of Clarksville, AR, with the postal code 728300440.

What is J. David Goodman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for J. David Goodman is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.

When did the J. David Goodman receive its 1023054467?

The J. David Goodman was issued its 1023054467 on 2006-06-22, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to J. David Goodman most recently updated or revised?

The information pertaining to J. David Goodman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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