Jesse Goodman, PA-C

NPI 1699843342 · on the registry since 2006 · sole proprietor

Practice

Address: 1515 Ne Lawrie Tatum Rd
Lawton, OK 73507
Phone: (580) 354-5100
Fax: (580) 354-5105
Organisation at this address: Lawton Indian Hospital
Lawton Indian Hospital
Lawton Indian Hospital
Lawton Indian Hospital
Nutritious Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 247

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-04-16

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