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Marvin Goodman, CRNA
NPI 1538146733 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1310 S Main St
Grove, OK 74344 - Phone
- (918) 786-2243
- Organisation at this address
- Baptist Healthcare Of Oklahoma
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-01
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 Oklahoma