KEITH GOODMAN

PASCO, WA
NPI1700317310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP60946658)
Enumeration Date2017-03-24
Last Update Date2024-01-15
Business Address
KEITH GOODMAN
1608 ROAD 44
PASCO, WA 99301-2667
Phone number: 509-543-9820
Mailing Address
KEITH GOODMAN
1608 ROAD 44
PASCO, WA 99301-2667
Phone number: 509-543-9820