NPI 1003858762

Miranda Anne Goodale, DPM

Practitioner Foot & Ankle Surgery Podiatrist Brazil, IN

Practice location

Address: 955 W Craig Ave, Brazil, IN 47834-7400
Phone: (812) 448-9290
Fax: (812) 448-9296

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 07001015A (IN)

Other Podiatrist providers in Indiana →

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 07001015A (IN)

Registry record

NPI: 1003858762
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2006
Record last updated: 31 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.