NPI 1083748966

Scott T Goodrich, MD

Practitioner Gynecologic Oncology Physician Fort Wayne, IN

Practice location

Address: 2514 E Dupont Rd STE 100, Fort Wayne, IN 46825-1619
Phone: (260) 484-8830
Fax: (260) 483-1911
Mailing address: PO Box 749495, Atlanta, GA 30374-9495

Registered specialties (2)

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X Licence 01078092A (IN)

Other Obstetrics & Gynecology providers in Indiana →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 01078092A (IN)

Registry record

NPI: 1083748966
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2007
Record last updated: 4 Dec 2024

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.