| NPI | 1982025250 |
|---|---|
| Doing Business As | GOODYEAR FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID BLACKMON CFO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-15 |