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Mason Goodman
NPI 1902387566 · on the registry since 2018
Practice
- Address
- 714 N College Rd Ste A
Twin Falls, ID 83301 - Phone
- (208) 420-0674
- Clinicians at this address
- 8
Additional practice sites
- 801 Pole Line Rd W, Twin Falls, ID
- 3205 E 3225 N, Twin Falls, ID
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-22
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 Idaho