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1326157124
MARK D. GOODMAN
OMAHA, NE
NPI
1326157124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 17235)
Enumeration Date
2006-08-29
Last Update Date
2016-11-09
Business Address
-- MARK D. GOODMAN M.D.
1319 LEAVENWORTH ST
OMAHA, NE 68102-3215
Phone number: 402-717-0420
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Mailing Address
-- MARK D. GOODMAN M.D.
7261 MERCY RD
OMAHA, NE 68124-2311
Phone number: 402-398-6254
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