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1104028489
GOODMAN MEDICAL CENTER PC
ROLLA, MO
NPI
1104028489
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Entity Type
Organization
Authorized Contact
KARENE MARIE GOODMAN
Coowner
573-308-5044
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-05-31
Last Update Date
2010-12-30
Business Address
GOODMAN MEDICAL CENTER PC
715 STATE ROUTE CC
ROLLA, MO 65401-4402
Phone number: 573-308-5044
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Mailing Address
GOODMAN MEDICAL CENTER PC
PO BOX 918
ROLLA, MO 65402-0918
Phone number: 573-308-5044
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