| Doctor Name: | DR. DOUGLAS E GOODMAN |
| NPI Number: | 1043285596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0432989 |
| Business Practice Address: | 5325 Faraon St Saint Joseph, MO - 645063488 |
| Business Phone Number: | 8162716575 |
| Business Fax Number: | 8162716139 |
| Mailing Address: | Po Box 8252, SAINT JOSEPH |
| State: | MO |
| Postal Code: | 645088252 |
| Phone Number: | 8162716575 |
| Fax Number: | 8162716139 |
| NPI Enumeration Date: | 02/20/2006 |
| NPI Last Update Date: | 05/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 0432989 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |