Ian P Goodman M.D.

NPI 1134495666 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1134495666
Gender Male
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3551 ROGER BROOKE DR.
BROOK ARMY MEDICAL CENTER
FORT SAM HOUSTO TX, 78234-6200, US
Phone (210) 916-3410
Fax (210) 916-7323
Business Location
3551 ROGER BROOKE DR.
BROOK ARMY MEDICAL CENTER
FORT SAM HOUSTON TX, 78234-6200, US
Phone (210) 916-3410
Fax (210) 916-7323
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Ian P Goodman M.D. NPI is 1134495666, taxonomy code is 390200000X Ian P Goodman M.D. physically located at 3551 Roger Brooke Dr., Fort Sam Housto TX, 78234-6200. NPI Number Ian P Goodman M.D. has the Individual type.

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1134495666 NPI number is provided on an as is basis without warranty of any kind. 1134495666 is maintained by the National Plan & Provider Enumeration System. The contents of Ian P Goodman M.D. are for informational purposes only.