CHRISTINA GOODMAN

REXBURG, ID
NPI1780691394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA591)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
-- CHRISTINA GOODMAN PA
100 STUDENT HEALTH CENTER BUILDING
REXBURG, ID 83440
Phone number: 208-496-1300
Mailing Address
-- CHRISTINA GOODMAN PA
490 PIONEER RD APT 1204
REXBURG, ID 83440-3799
Phone number: 208-351-6470
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