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NPI Code Detail

MEDICARE: ROBERT F GOODMAN MD

MEDICARE:   ROBERT F GOODMAN  MD
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
1207X00000XOrthopaedic Surgery Physician23013CO
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician76-180NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225093818
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT F GOODMAN MD
Provider Business Mailing Address
First Line : 1 MERCADO ST
Second Line : STE 202
City : DURANGO
State : CO
Zip : 81301-7300
Country : US
Telephone Number : 970-247-5362
Fax Number : 970-259-6045
Provider Business Practice Location Address
First Line : 1 MERCADO ST
Second Line : STE 202
City : DURANGO
State : CO
Zip : 81301-7300
Country : US
Telephone Number : 970-247-5362
Fax Number : 970-259-6045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 06/22/2011

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Directions to “ ROBERT F GOODMAN MD” Practice Location

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