Whalio Doctors

NPI 1013960442

Raymond C. Goodman, MD

Practitioner Surgery Physician Fort Smith, AR

Practice location

Address
7001 Rogers Ave Suite 200, Fort Smith, AR 72903-4073
Phone
(479) 314-4620
Fax
(479) 314-4629
Mailing address
5401 Ellsworth Rd, Fort Smith, AR 72903-3219

Registered specialties (2)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence C-4716 (AR)
Specialist
Other Service Providers Taxonomy 174400000X Licence C4716 (AR)

Registry record

NPI
1013960442
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 May 2006
Record last updated
21 Dec 2011

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.