Organization · Type 2 NPI

JC Goodwin, DMD

Customized Equipment (DME) · Yuma, AZ

NPI number 1225386758 Active

Practice location

2110 W 24th St, Suite A
Yuma, AZ 85364-8878

Fax (928) 708-9443

Mailing address

3185 Clearwater Dr, Suite B
Prescott, AZ 86305-7119

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X3540 (AZ)

Customized Equipment (DME): Definition to come...

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About NPI 1225386758

JC Goodwin, DMD's National Provider Identifier is 1225386758, issued on Aug 15, 2012. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Yuma, AZ. The record was last updated on Aug 15, 2012.