Randy Jerome Goodwin CRNA

NPI 1659313864 - Registered Nurse - 163W00000X

NPI Details
NPI 1659313864
Gender Male
Enumeration Date 06/12/2006
Last Updated 11/04/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
809 UNIVERSITY BLVD E
TUSCALOOSA AL, 35401-2029, US
Phone (205) 759-7352
Fax (205) 759-6397
Business Location
809 UNIVERSITY BLVD E
TUSCALOOSA AL, 35401-2029, US
Phone (205) 759-7352
Fax (205) 759-6397
Toxanomy
Taxonomy Code 163W00000X
License State Alabama
License Number 1-031210
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According to our database, Randy Jerome Goodwin CRNA NPI is 1659313864, taxonomy code is 163W00000X and license number is 1-031210, license state is located at Alabama. Randy Jerome Goodwin CRNA physically located at 809 University Blvd E, Tuscaloosa AL, 35401-2029. NPI Number Randy Jerome Goodwin CRNA has the Individual type.

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1659313864 NPI number is provided on an as is basis without warranty of any kind. 1659313864 is maintained by the National Plan & Provider Enumeration System. The contents of Randy Jerome Goodwin CRNA are for informational purposes only.