| Doctor Name: | RAYMOND C. GOODMAN |
| NPI Number: | 1013960442 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | C4716 |
| Business Practice Address: | 7001 Rogers Ave Suite 200 Fort Smith, AR - 729034073 |
| Business Phone Number: | 4793144620 |
| Business Fax Number: | 4793144629 |
| Mailing Address: | 5401 Ellsworth Rd, FORT SMITH |
| State: | AR |
| Postal Code: | 729033219 |
| Phone Number: | 4793144757 |
| Fax Number: | 4793144704 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | C4716 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |