Individual provider · Type 1 NPI

Diane Rene Godman, PA-C

Medical Physician Assistant · Salem, VA

NPI number 1649237454 Active

Practice location

1970 Boulevard
Salem, VA 24153-6404

Fax (540) 855-3469

Mailing address

1970 Roanoke Blvd
Salem, VA 24153-6404

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110001198 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1649237454

Diane Rene Godman, PA-C's National Provider Identifier is 1649237454, issued on Apr 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salem, VA. The record was last updated on Nov 29, 2011.