Individual provider · Type 1 NPI
Jeremy LR Goodwin, MS, MD
Neurology Physician · Petaluma, CA
NPI number
1366547614
Active
Practice location
1456 Professional Dr Ste 402
Petaluma, CA 94954-6639
Fax (707) 938-7260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | G76323 (CA) |
| Pain Medicine Physician | 208VP0000X | G76323 (CA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2 other providers at this address
Other neurology physician providers in Petaluma
About NPI 1366547614
Jeremy LR Goodwin, MS, MD's National Provider Identifier is 1366547614, issued on Sep 13, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Petaluma, CA. The record was last updated on Jun 6, 2023.