G P Goodfried MD PA

NPI #1639313851 in Tyler, Texas

Provider Information

NPI Number: 1639313851
Entity Type: Organization
Organization Name: G P Goodfried MD PA
Primary Specialty: Physician Assistant
Enumeration Date: May 1, 2009
Last Updated: Dec 22, 2011

Practice Location

Address: 1905 S DONNYBROOK AVE
City: Tyler
State: Texas
ZIP Code: 75701-4236
Phone: (903) 597-3140

Authorized Official

Name: DR. GARY PAUL GOODFRIED, MD
Title: ORTHOPEDIC SURGEON/OWNER
Phone: (903) 597-5798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Physician Assistant	363A00000X	Primary

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