NPI | 1275789901 |
---|---|
Other Name | MICHAEL G GOODMAN, M.D. |
Entity Type | Organization |
Authorized Contact | MICHAEL G GOODMAN Sole Proprietor 406-752-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0200X Clinic/Center Oncology (Licence: MT 8025) |
Enumeration Date | 2008-08-13 |
Last Update Date | 2008-08-13 |