Maggie Goodman, PA-C

NPI #1568039600 in Jackson, Wyoming

Provider Information

NPI Number: 1568039600
Entity Type: Individual
Name: Maggie Goodman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 8, 2021
Last Updated: Nov 9, 2021

Practice Location

Address: 555 E BROADWAY AVE STE 216
City: Jackson
State: Wyoming
ZIP Code: 83001-8640
Phone: (724) 679-5642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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