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NPI Code Detail

MEDICARE: STUART G. GOODMAN M.D.

MEDICARE: STUART G. GOODMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician8683MT

General Provider Information

NPI Number : 1154432425
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART G. GOODMAN M.D.
Provider Business Mailing Address
First Line : 1041 N 29TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0731
Country : US
Telephone Number : 406-237-5577
Fax Number : 406-237-5575
Provider Business Practice Location Address
First Line : 1041 N 29TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0731
Country : US
Telephone Number : 406-237-5577
Fax Number : 406-237-5575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/22/2016

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