| Doctor Name: | JOSHUA RYAN GOODMAN |
| NPI Number: | 1265844179 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | |
| Business Practice Address: | 501 Madison Ave. The Wright Center Scranton, PA - 18512 |
| Business Phone Number: | 5703432383 |
| Business Fax Number: | |
| Mailing Address: | 5051 N Sabino Canyon Rd # R, Unit 1219 TUCSON |
| State: | AZ |
| Postal Code: | 857506448 |
| Phone Number: | 6263672506 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2014 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |