Goodside Health Medical, Pllc
NPI #1790415909 in Cedar Rapids, Iowa
Provider Information
- NPI Number
- 1790415909
- Entity Type
- Organization
- Organization Name
- Goodside Health Medical, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 13, 2022
- Last Updated
- Jul 1, 2022
Practice Location
- Address
- 3300 SOUTHGATE CT SW
- Address 2
- STE 183
- City
- Cedar Rapids
- State
- Iowa
- ZIP Code
- 52404
- Phone
- (281) 203-5006
Authorized Official
- Name
- GERARDO REYES, MD
- Title
- OWNER
- Phone
- (281) 203-5006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Clinic/Center |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Physician Assistant |
| Nurse Practitioner |
| Pediatrics |
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