Eric M. Goddard, PA-C

NPI #1053824763 in Fort Wayne, Indiana

Provider Information

NPI Number: 1053824763
Entity Type: Individual
Name: Eric M. Goddard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 16, 2017
Last Updated: Aug 14, 2024

Practice Location

Address: 7916 W JEFFERSON BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-4140
Phone: (260) 434-6322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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