Individual provider · Type 1 NPI

Jared Vega Goodman, MD

Neurology Physician · St. Louis, MO

NPI number 1790353712 Active

Practice location

4921 Parkview Pl, Div Neurology Multiple Sclerosis, 7th Fl
St. Louis, MO 63110-1032

Call (314) 362-3293 Map

Fax (314) 747-1345

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X2026000730 (MO)

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.

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About NPI 1790353712

Jared Vega Goodman, MD's National Provider Identifier is 1790353712, issued on Jun 15, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in St. Louis, MO. The record was last updated on Jan 14, 2026.