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MAGGIE GOODMAN PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1568039600
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
555 E BROADWAY AVE STE 216, JACKSON, WY, 830018640
Phone
(724) 679-5642

Specialties & Taxonomies

Physician Assistant License: WY #PT951
Physician Assistant Primary License: WY #PA951

All Addresses

MAILING

PO BOX 3544

JACKSON, WY, 830013544

(724) 679-5642

LOCATION

555 E BROADWAY AVE STE 216

JACKSON, WY, 830018640

(724) 679-5642