NPI 1205245610

Gloria Goodman

Practitioner Other Technician Greenwood, IN

Practice location

Address: 701 E County Line Rd Suite 101, Greenwood, IN 46143-1072
Phone: (317) 885-2860
Fax: (317) 885-2335

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 30004115A (IN)

Other Technician, Other providers in Indiana →

Registry record

NPI: 1205245610
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2014
Record last updated: 11 Aug 2014

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.