Doctor Name: | JAMES T. GOODRICH |
NPI Number: | 1851467948 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 80068 |
Business Practice Address: | 1320 Coshocton Rd Mount Vernon, OH - 430506400 |
Business Phone Number: | 7403936553 |
Business Fax Number: | 7403993161 |
Mailing Address: | 1320 Coshocton Rd, MOUNT VERNON |
State: | OH |
Postal Code: | 430506400 |
Phone Number: | 7403936553 |
Fax Number: | 7403993161 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 80068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |