Wendy Monique Goodrich, PA C

NPI #1255400388 in Moscow, Idaho

Provider Information

NPI Number: 1255400388
Entity Type: Individual
Name: Wendy Monique Goodrich, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Nov 6, 2006
Last Updated: Jul 19, 2024

Practice Location

Address: 623 S MAIN ST STE 1
City: Moscow
State: Idaho
ZIP Code: 83843-2983
Phone: (208) 882-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Internal Medicine	207R00000X

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