Whalio Doctors

NPI 1992782411

Theresa B. Goodman, MD

Practitioner Aerospace Medicine Physician Apo, AP

Practice location

Address
18th Medical Group Unit 5142, Apo, AP 96368-5142
Phone
(315) 630-4229
Mailing address
Psc 80, Box 21521, Apo, AP 96367

Registered specialties (3)

Aerospace Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 0101230488 (VA)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101230488 (VA)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 0101230488 (VA)

Registry record

NPI
1992782411
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Dec 2005
Record last updated
1 Jun 2017

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.