SearchMissouri101YM0800X

Matthew Goodman

NPI 1841540994 · on the registry since 2012 · sole proprietor

Practice

Address
6651 Chippewa St Ste 224
Saint Louis, MO 63109
Phone
(314) 645-6840
Organisation at this address
Oto-Aids, Inc.
Esb Medical Llc
John P Marino Md Llc
Paul Selvadurai Inc.
Palmetto Oxygen, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-17

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 Missouri