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Search › Indiana › 363A00000X

Eric Goddard, PA-C

NPI 1053824763 · on the registry since 2017

Practice

Address
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 434-6322
Fax
(260) 434-6481
Organisation at this address
Mgfw Surgery Center, Llc
Lutheran Medical Group Llc
Medical Group Of Fort Wayne, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana