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NPI Code Detail

MEDICARE: WILLIAM CHRISTOPHER GOGGINS M.D.

MEDICARE: WILLIAM CHRISTOPHER GOGGINS 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
1208600000XSurgery Physician01057460AIN

General Provider Information

NPI Number : 1740252675
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CHRISTOPHER GOGGINS M.D.
Provider Business Mailing Address
First Line : 550 UNIVERSITY BLVD
Second Line : UH 4601
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-274-4370
Fax Number :
Provider Business Practice Location Address
First Line : 550 UNIVERSITY BLVD
Second Line : UH 4601
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-274-4370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2006
Last Update Date : 03/12/2021

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Directions to “ WILLIAM CHRISTOPHER GOGGINS M.D.” Practice Location

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