Individual provider · Type 1 NPI
Jennifer Lynn Goodman, D.P.M.
Foot & Ankle Surgery Podiatrist · Independence, OH
NPI number
1508847013
Active
Practice location
6701 Rockside Rd, Suite 340
Independence, OH 44131-2358
Fax (216) 707-3729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 36003353 (OH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1508847013
Jennifer Lynn Goodman, D.P.M.'s National Provider Identifier is 1508847013, issued on Nov 10, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Independence, OH. The record was last updated on Dec 19, 2012.