| Doctor Name: | JULIAN GOOD |
| NPI Number: | 1023099637 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP, PMHNP |
| License Number: | 19109.0857 |
| Business Practice Address: | 821 E 18th St Cheyenne, WY - 820014775 |
| Business Phone Number: | 3076322434 |
| Business Fax Number: | 3076343510 |
| Mailing Address: | 820 E 17th St, CHEYENNE |
| State: | WY |
| Postal Code: | 820014714 |
| Phone Number: | 3076322434 |
| Fax Number: | 3076343510 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19109.0857 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |