Carrie Christina Goodrum in Mesa - Family

What is the unique 10-digit identifier code assigned to Carrie Christina Goodrum by the Centers for Medicare & Medicaid Services?

The Carrie Christina Goodrum has been issued the NPI (National Provider Identifier) 1063634475 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Carrie Christina Goodrum's physical address?

The Carrie Christina Goodrum is physically located at 1520 S. Dobson Rd., in the city of Mesa, AZ, with the postal code 85202.

What is Carrie Christina Goodrum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Carrie Christina Goodrum's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did Carrie Christina Goodrum receive its 1063634475 assignment from the Centers for Medicare & Medicaid Services?

The Carrie Christina Goodrum was assigned its 1063634475 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Carrie Christina Goodrum most recently updated or refreshed?

The details pertaining to the Carrie Christina Goodrum, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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