Individual provider · Type 1 NPI
Miranda Anne Goodale, DPM
Foot & Ankle Surgery Podiatrist · Brazil, IN
NPI number
1003858762
Active
Practice location
955 W Craig Ave
Brazil, IN 47834-7400
Fax (812) 448-9296
Other practice locations
- 1214 E National Ave, Suite 130, Brazil, IN 47834-2700 · (812) 448-9290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07001015A (IN) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 07001015A (IN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Brazil
About NPI 1003858762
Miranda Anne Goodale, DPM's National Provider Identifier is 1003858762, issued on Jun 10, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Brazil, IN. The record was last updated on May 31, 2019.