Individual provider · Type 1 NPI
Sandra Lynn Mundy Gooden, SA C SURGICAL ASSIST
Surgical Physician Assistant · Garfield Heights, OH
NPI number
1649435504
Active
Practice location
12300 Mccracken Rd, Marymount Hospital
Garfield Heights, OH 44125-2914
Fax (216) 587-6715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 078114 (OH) |
Surgical Physician Assistant: Definition to come...
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About NPI 1649435504
Sandra Lynn Mundy Gooden, SA C SURGICAL ASSIST's National Provider Identifier is 1649435504, issued on Jul 21, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Garfield Heights, OH. The record was last updated on Jul 21, 2008.