NPI 1366768699

William David Goforth, DPM

Practitioner Foot & Ankle Surgery Podiatrist Medford, OR

Practice location

Address: 490 Murphy Rd, Medford, OR 97504-8144
Phone: (541) 779-5227
Fax: (541) 779-1938

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DP163162 (OR)

Other Podiatrist providers in Oregon →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1366768699
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2010
Record last updated: 3 Jun 2013

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.